NPI 1003746660

Tyler Palmer, PTA

Practitioner Physical Therapy Assistant Saint Anthony, ID

Practice location

Address: 40 S Bridge St, Saint Anthony, ID 83445-2130
Phone: (208) 624-4008
Mailing address: 328 Cul de Sac Dr, Rexburg, ID 83440-1429

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-8958 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1003746660
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2026
Record last updated: 22 May 2026

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.