Idaho Lung and Heart

NPI #1306608104 in Rexburg, Idaho

Provider Information

NPI Number: 1306608104
Entity Type: Organization
Organization Name: Idaho Lung and Heart
Primary Specialty: Physical Therapist
Enumeration Date: Jan 26, 2024
Last Updated: Feb 4, 2025

Practice Location

Address: 38 S 2ND E
City: Rexburg
State: Idaho
ZIP Code: 83440-2671
Phone: (801) 616-7253

Authorized Official

Name: BRADLEY S CORDERO
Title: OWNER
Phone: (208) 359-9570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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