Whalio Doctors

NPI 1275607640

Nathan Warren Smith, LPTA

Practitioner Physical Therapy Assistant Rigby, ID

Practice location

Address
4115 Ea 240 No, Rigby, ID 83442-5879
Phone
(208) 745-1422
Mailing address
4115 Ea 240 North, Rigby, ID 83442-5879

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-180 (ID)

Registry record

NPI
1275607640
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Nov 2006
Record last updated
8 Jul 2007

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.