DR. Jonah Nicholas Heyneman, PT, DPT

NPI #1164040655 in Pocatello, Idaho

Provider Information

NPI Number: 1164040655
Entity Type: Individual
Name: DR. Jonah Nicholas Heyneman, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 10, 2020
Last Updated: Jul 10, 2020

Practice Location

Address: 675 YELLOWSTONE AVE # 1
City: Pocatello
State: Idaho
ZIP Code: 83201-4511
Phone: (208) 478-1488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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