Whalio Doctors

NPI 1205384484

Max Esposito, PTDPT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Pocatello, ID

Practice location

Address
1400 E Terry Dr, Pocatello, ID 83209-0001
Phone
(208) 282-2590
Mailing address
1400 E Terry Dr Room 202, Pocatello, ID 83209-0001

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence PT-4787 (ID)

Registry record

NPI
1205384484
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Sep 2016
Record last updated
15 Sep 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.