NPI 1831424878
Preston Physical Therapy LLC
Practice location
- Address
- 10 S 100 W STE a, Preston, ID 83263-1244
- Phone
- (208) 852-1143
- Fax
- (208) 852-3951
- Mailing address
- PO Box 14, Lewiston, UT 84320-0014
Authorised official
- Name
- Charles R Acevedo
- Title
- Member
- Phone
- (208) 852-1143
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1831424878
- Entity type
- Organization
- NPI issued
- 8 Oct 2009
- Record last updated
- 2 Dec 2009
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.