NPI 1891247912

Daelene Sueann Tibbitts, PTA

Practitioner Physical Therapy Assistant Mountain Home, ID

Practice location

Address: 1665 E 5th N, Mountain Home, ID 83647
Phone: (208) 598-5047

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-4637 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1891247912
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2016
Record last updated: 25 Oct 2016

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.