MR. Paul M Dye, MPT, MOTR/L, ATC,

NPI #1548245236 in Rexburg, Idaho

Provider Information

NPI Number: 1548245236
Entity Type: Individual
Name: MR. Paul M Dye, MPT, MOTR/L, ATC,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT, MOTR/L, ATC,
Enumeration Date: Dec 14, 2005
Last Updated: Oct 1, 2010

Practice Location

Address: 36 WINN DRIVE
Address 2: SUITE #100
City: Rexburg
State: Idaho
ZIP Code: 83440
Phone: (208) 356-0174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Occupational Therapist	225X00000X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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