Michael Davis
Physical Therapist in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1629582002
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1629582002
- Entity type
- Individual (NPI-1)
- Name
- Michael Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-4771 | ID | Yes |
Practice location
2093 Irene LnIdaho Falls, ID 83404-7167
Phone 870-759-0424
Mailing address
2093 Irene LnIdaho Falls, ID 83404-7167
Phone 870-759-0424
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All 105 Physical Therapist providers in Idaho Falls · All 3,646 providers in Idaho Falls
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