Todd Ritchie Anderson, DPT, MPT, ATC

NPI #1942400718 in Blackfoot, Idaho

Provider Information

NPI Number: 1942400718
Entity Type: Individual
Name: Todd Ritchie Anderson, DPT, MPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, MPT, ATC
Enumeration Date: Jul 20, 2007
Last Updated: Jul 30, 2016

Practice Location

Address: 180 N BROADWAY
City: Blackfoot
State: Idaho
ZIP Code: 83221-2203
Phone: (208) 785-0628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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