NPI 1073361275

Tyler Powell, DPT

Practitioner Physical Therapist Nampa, ID

Practice location

Address: 16816 N Marketplace Blvd, Nampa, ID 83687-5140
Phone: (208) 461-9593
Fax: (208) 369-9272
Mailing address: 7979 W Rifleman St STE 200, Boise, ID 83704-9066

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-9162 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1073361275
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2024
Record last updated: 11 May 2024

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.