Form First Rehab and Athletics
NPI #1730053463 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1730053463
- Entity Type
- Organization
- Organization Name
- Form First Rehab and Athletics
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 4, 2025
- Last Updated
- Oct 4, 2025
Practice Location
- Address
- 148 CHENEY DR W STE 400
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6098
- Phone
- (208) 539-1093
Authorized Official
- Name
- ARMANDO JIMENEZ, DPT
- Title
- OWNER
- Phone
- (208) 539-1093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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