Elevate208 Physical Therapy
NPI #1043091531 in Dalton Gardens, Idaho
Provider Information
- NPI Number
- 1043091531
- Entity Type
- Organization
- Organization Name
- Elevate208 Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 7736 N GOVERNMENT WAY STE 1
- City
- Dalton Gardens
- State
- Idaho
- ZIP Code
- 83815-8772
- Phone
- (307) 254-1858
Authorized Official
- Name
- MATTHEW KIFER, DPT
- Title
- DOCTOR OF PHYSICAL THERAPY
- Phone
- (307) 254-1858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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