NPI 1144774340

Darci Davis, PTA

Practitioner Physical Therapy Assistant Rexburg, ID

Practice location

Address: 36 Winn Dr, Rexburg, ID 83440-5277
Phone: (208) 356-0174
Fax: (208) 356-0176

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-4539 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1144774340
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2016
Record last updated: 5 Aug 2016

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.