Physical Therapy and Sports Medicine Clinic INC

NPI #1568645554 in Rigby, Idaho

Provider Information

NPI Number: 1568645554
Entity Type: Organization
Organization Name: Physical Therapy and Sports Medicine Clinic INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 12, 2007
Last Updated: Sep 15, 2008

Practice Location

Address: 4102 E 82 N
City: Rigby
State: Idaho
ZIP Code: 83442-5894
Phone: (208) 745-8580

Authorized Official

Name: MS. LAURA B JENKINS
Title: SECRETARY
Phone: (208) 745-8580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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