NPI 1083488951

Aaron Groll

Practitioner Physical Therapy Assistant Pocatello, ID

Practice location

Address: 1800 Flandro Dr STE 190, Pocatello, ID 83202-4940
Phone: (208) 233-2248
Mailing address: 164 N 400 W, Blackfoot, ID 83221-5635

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-5581 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1083488951
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2023
Record last updated: 13 Nov 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.