Whalio Doctors

NPI 1154866226

Malynda Duern, PTA

Practitioner Physical Therapy Assistant Pocatello, ID

Practice location

Address
527 Memorial Dr, Pocatello, ID 83201-4063
Phone
(208) 478-3333

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-3269 (ID)

Registry record

NPI
1154866226
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Dec 2016
Record last updated
28 Dec 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.