| NPI | 1366168684 |
|---|---|
| Doing Business As | PICK PT IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | TREVOR DIMOND Owner 801-836-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |