Douglas Wayne Ball, M.P.T. A.T.C.

NPI #1891916359 in Soda Springs, Idaho

Provider Information

NPI Number: 1891916359
Entity Type: Individual
Name: Douglas Wayne Ball, M.P.T. A.T.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.P.T. A.T.C.
Enumeration Date: May 1, 2007
Last Updated: Sep 30, 2019

Practice Location

Address: 316 W 2ND S
City: Soda Springs
State: Idaho
ZIP Code: 83276-1515
Phone: (208) 547-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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