NPI 1003322512

Caleb Smith

Practitioner Physical Therapy Assistant Pocatello, ID

Practice location

Address: 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727
Phone: (208) 235-7800
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1003322512
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2017
Record last updated: 19 Dec 2017

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.