NPI 1003471665

Anthony Baden Powell, PTA

Practitioner Physical Therapy Assistant Pocatello, ID

Practice location

Address: 527 Memorial Dr, Pocatello, ID 83201-4063
Phone: (208) 478-3333
Mailing address: 256 S Johnson Ave, Pocatello, ID 83204-4228

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3510 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1003471665
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2019
Record last updated: 8 May 2019

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.