Phoenix Physical Therapy Pllc

NPI #1992521215 in Iona, Idaho

Provider Information

NPI Number: 1992521215
Entity Type: Organization
Organization Name: Phoenix Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Dec 2, 2024
Last Updated: Dec 2, 2024

Practice Location

Address: 4676 WEIGEL CIR
City: Iona
State: Idaho
ZIP Code: 83427-4907
Phone: (208) 754-2127

Authorized Official

Name: MATTHEW RICCI, P.T.
Title: OWNER, AUTHORIZED OFFICIAL, PROVIDE
Phone: (208) 754-2127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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