NPI 1023675287

Matthew John Ricci, DPT

Practitioner Physical Therapist Shelley, ID

Practice location

Address: 299 Anderson Rd, Shelley, ID 83274-4927
Phone: (208) 782-4744
Fax: (208) 906-1554
Mailing address: 1411 Falls Ave E STE 401, Twin Falls, ID 83301-3455

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-6317 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1023675287
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2019
Record last updated: 2 Dec 2020

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.