Idaho Direct Physical Therapy, Pllc
NPI #1518560671 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1518560671
- Entity Type
- Organization
- Organization Name
- Idaho Direct Physical Therapy, Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 19, 2020
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 1559 N STEVENS DR APT B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3947
- Phone
- (815) 545-3996
Authorized Official
- Name
- DR. TYLER J BURKE, DPT
- Title
- OWNER
- Phone
- (815) 545-3996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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