NPI 1063268753

Tiffany Heather Maxwell, PTA

Practitioner Physical Therapy Assistant Idaho Falls, ID

Practice location

Address: 2037 E 17th St, Idaho Falls, ID 83404-6430
Phone: (208) 529-3355
Fax: (208) 529-9581

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5326 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1063268753
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2024
Record last updated: 29 Sep 2025

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.