NPI 1316400567

Cleo Celine Bohney, PTA

Practitioner Physical Therapy Assistant Rexburg, ID

Practice location

Address: 660 S 2nd W, Rexburg, ID 83440-2300
Phone: (208) 356-0220
Mailing address: 3839 E 137 N, Rigby, ID 83442-5735

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5318 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1316400567
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2019
Record last updated: 12 Apr 2019

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.