NPI 1063106433

Nathan Spencer, PT

Practitioner Physical Therapy Assistant Eagle, ID

Practice location

Address: 645 E State St STE 101, Eagle, ID 83616-5915
Phone: (208) 939-9594
Fax: (208) 939-9828

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PT-8584 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1063106433
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2023
Record last updated: 7 Jun 2023

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.