NPI 1073956306
PT Medical LLC
Practice location
- Address
- 490 Memorial Dr, Idaho Falls, ID 83402-3656
- Phone
- (630) 364-8144
- Fax
- (866) 661-4322
- Mailing address
- PO Box 51630, Idaho Falls, ID 83405-1630
Authorised official
- Name
- Stephen Bird
- Title
- Managing Member
- Phone
- (630) 364-8144
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1073956306
- Entity type
- Organization
- NPI issued
- 17 Apr 2013
- Record last updated
- 17 Apr 2013
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.