NPI 1154866226
Malynda Duern, PTA
Practice location
- Address
- 527 Memorial Dr, Pocatello, ID 83201-4063
- Phone
- (208) 478-3333
Registered specialties
Physical Therapy Assistant
Primary
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.