Whalio Doctors

NPI 1003482779

Braden Lott, DPT

Practitioner Physical Therapist Rigby, ID

Practice location

Address
711 Rigby Lake Dr STE 1301, Rigby, ID 83442-5373
Phone
(208) 228-0311

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-7269 (ID)

Registry record

NPI
1003482779
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jun 2021
Record last updated
2 Jun 2021

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.