NPI 1164345005

A Joint Venture

Organisation Physical Therapist Idaho Falls, ID

Practice location

Address: 501 S Woodruff Ave, Idaho Falls, ID 83401
Phone: (720) 934-3429
Mailing address: 268 Stone Run Ln, Idaho Falls, ID 83404-7248

Authorised official

Name: Heidi Duran
Title: Owner
Phone: (720) 934-3429

Registered specialties

Physical Therapist Primary

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

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1164345005
Entity type: Organization
NPI issued: 30 Jul 2026
Record last updated: 30 Jul 2026

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.