Colby C Ebanks, PT, DPT

NPI #1639745540 in Ammon, Idaho

Provider Information

NPI Number: 1639745540
Entity Type: Individual
Name: Colby C Ebanks, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jun 1, 2021
Last Updated: Jun 1, 2021

Practice Location

Address: 1615 CURLEW DR
City: Ammon
State: Idaho
ZIP Code: 83406-4718
Phone: (208) 516-1204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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