Vista Physical Therapy, Pllc

NPI #1033704101 in Ammon, Idaho

Provider Information

NPI Number
1033704101
Entity Type
Organization
Organization Name
Vista Physical Therapy, Pllc
Primary Specialty
Physical Therapist
Enumeration Date
Mar 1, 2021
Last Updated
Apr 2, 2021

Practice Location

Address
1615 MIDWAY DR
City
Ammon
State
Idaho
ZIP Code
83406-6799
Phone
(208) 529-1715

Authorized Official

Name
KEEGAN DAVID PARMER, DPT
Title
OWNER
Phone
(208) 529-1715

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic
Physical Therapist

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