Homegrown Pediatric Therapies LLC
NPI #1992690101 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1992690101
- Entity Type
- Organization
- Organization Name
- Homegrown Pediatric Therapies LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOMEGROWN PEDIATRIC THERAPIES LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 9, 2025
- Last Updated
- Jun 24, 2025
Practice Location
- Address
- 8000 S 55TH W
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-5733
- Phone
- (208) 613-7361
Authorized Official
- Name
- ROSS GARDNER, PT, DPT
- Title
- OWNER, PHYSICAL THERAPIST
- Phone
- (208) 613-7361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
| Physical Therapist - Pediatrics — Pediatrics |
| Physical Therapy Assistant |
| Occupational Therapist |
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
| Speech-Language Pathologist |
| Physical Therapist |
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