Derrick Northrup, P.T.

NPI #1124196340 in Chubbuck, Idaho

Provider Information

NPI Number: 1124196340
Entity Type: Individual
Name: Derrick Northrup, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 4, 2006
Last Updated: Mar 20, 2020

Practice Location

Address: 605 TAYLOR LN
City: Chubbuck
State: Idaho
ZIP Code: 83202-5169
Phone: (208) 221-6952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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