Streamline Sports Physical Therapy PC

NPI #1073038378 in Pocatello, Idaho

Provider Information

NPI Number: 1073038378
Entity Type: Organization
Organization Name: Streamline Sports Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 8, 2017
Last Updated: Sep 20, 2021

Practice Location

Address: 335 E LEWIS ST STE 10
City: Pocatello
State: Idaho
ZIP Code: 83201-6408
Phone: (208) 269-2360

Authorized Official

Name: BLAIRE ZIKRATCH-CLAYSON, PT
Title: OWNER/PT
Phone: (208) 269-2360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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