Whalio Doctors

NPI 1093237935

Jason Earl Bailey, DPT

Practitioner Contractor Idaho Falls, ID

Practice location

Address
3100 S Woodruff Ave., Idaho Falls, ID 83404
Phone
(208) 523-8879
Mailing address
3100 S Woodruff Ave, Idaho Falls, ID 83404-8310

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence PT-5201 (ID)

Registry record

NPI
1093237935
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jul 2017
Record last updated
12 Jul 2017

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.