Fitness Forward Physical Therapy Pllc
NPI #1881100261 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1881100261
- Entity Type
- Organization
- Organization Name
- Fitness Forward Physical Therapy Pllc
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 20, 2017
- Last Updated
- Dec 20, 2017
Practice Location
- Address
- 1775 E 17TH ST STE D
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-4902
- Phone
- (208) 243-9999
Authorized Official
- Name
- JON CHRISTOPHER MALLAMS, PTA
- Title
- PTA/OWNER
- Phone
- (208) 424-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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