NPI 1568893667

Lester Barroso

Practitioner Physical Therapy Assistant Mountain Home, ID

Practice location

Address: 895 N 6th E, Mountain Home, ID 83647-2207
Phone: (208) 602-0198
Mailing address: 4391 S Axiom Ave, Boise, ID 83716-5626

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-3272 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1568893667
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2013
Record last updated: 29 Nov 2013

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.