The Physical Therapy and Sportsmedicine Clinic INC

NPI #1932382777 in Rexburg, Idaho

Provider Information

NPI Number: 1932382777
Entity Type: Organization
Organization Name: The Physical Therapy and Sportsmedicine Clinic INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 17, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 133 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-1911
Phone: (208) 356-6607

Authorized Official

Name: MR. STEVEN M SCHWAB, MA PT
Title: OWNER
Phone: (208) 356-6607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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