Jeff Neil Newberry, ID

NPI #1124486022 in Pocatello, Idaho

Provider Information

NPI Number: 1124486022
Entity Type: Individual
Name: Jeff Neil Newberry, ID
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: ID
Enumeration Date: Feb 5, 2016
Last Updated: Feb 5, 2016

Practice Location

Address: 1957 ALVIN RICKEN DR
Address 2: C/O JEFF NEWBERRY
City: Pocatello
State: Idaho
ZIP Code: 83201-2727
Phone: (208) 235-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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