NPI 1396148029

Angela Hale

Practitioner Physical Therapy Assistant Mountain Home, ID

Practice location

Address: 895 N 6th E, Mountain Home, ID 83647-2207
Phone: (208) 587-8405
Mailing address: 6305 Birch Ln APT 201, Nampa, ID 83687-4142

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-3677 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1396148029
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 2014

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.