NPI 1003382276

Joel Cruz, PT

Practitioner Physical Therapist Shelley, ID

Practice location

Address: 186 W Pine St, Shelley, ID 83274-1235
Phone: (208) 680-4787
Mailing address: 400 Grant St, Blackfoot, ID 83221-2119

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-7250 (ID)

Other Physical Therapist providers in Idaho →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-4520 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1003382276
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2018
Record last updated: 22 Apr 2024

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.