Dirk Andreasen, MPT

NPI #1700953288 in Rexburg, Idaho

Provider Information

NPI Number: 1700953288
Entity Type: Individual
Name: Dirk Andreasen, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 32 W 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1810
Phone: (208) 359-0877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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