NPI 1033704101

Vista Physical Therapy, PLLC

Organisation Physical Therapist Ammon, ID

Practice location

Address: 1615 Midway Dr, Ammon, ID 83406-6799
Phone: (208) 529-1715
Mailing address: 233 S Emery Ln, Idaho Falls, ID 83401-4674

Authorised official

Name: Keegan David Parmer
Title: Owner
Phone: (208) 529-1715

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Idaho →

Orthopedic Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X

Registry record

NPI: 1033704101
Entity type: Organization
NPI issued: 1 Mar 2021
Record last updated: 2 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.