Physical Therapy Sports & Rehab

NPI #1831181106 in Pocatello, Idaho

Provider Information

NPI Number: 1831181106
Entity Type: Organization
Organization Name: Physical Therapy Sports & Rehab
Primary Specialty: Physical Therapist
Enumeration Date: Aug 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 540 S GARFIELD AVE
City: Pocatello
State: Idaho
ZIP Code: 83204-3333
Phone: (208) 232-2740

Authorized Official

Name: ALLEN B MARTIN, PPT
Title: OWNER
Phone: (208) 232-2740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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