NPI 1346584810

James Michael Pease, PTA

Practitioner Physical Therapy Assistant Eagle, ID

Practice location

Address: 1069 N Snead Pl, Eagle, ID 83616-6509
Phone: (208) 939-2715

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA71 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1346584810
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

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.