Whalio Doctors

NPI 1023225737

Chad Gordon Bainbridge, PTAPHYSICALTHERAPI

Practitioner Physical Therapy Assistant Boise, ID

Practice location

Address
700 N Robins Idaho Elks Rehabilitation Services, Boise, ID 83712
Phone
(208) 489-4040
Mailing address
4560 SE International Way Consonus Healthcare Services, Milwaukie, OR 97222

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA243 (ID)

Registry record

NPI
1023225737
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 May 2007
Record last updated
8 Jul 2007

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.