NPI 1306155320

John Boyatt Phillips, MT

Practitioner Mechanotherapist Pocatello, ID

Practice location

Address: 726 E Hayden St, Pocatello, ID 83201-6226
Phone: (208) 317-3278
Fax: (208) 232-2295

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence POCATELLO BL3582 (ID)

Other Mechanotherapist providers in Idaho →

Registry record

NPI: 1306155320
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2010
Record last updated: 27 Sep 2010

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.