| Organization Name: | TRI-CITY PHYSICAL THERAPY, P.C. |
| NPI Number: | 1093864282 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CODY DEE STEPHENS (OWNER/PRESIDENT) |
| Mailing Address: | 215 N. Whitley Drive Suite 1 Fruitland |
| State: | ID US |
| Postal Code: | 836192706 |
| Phone Number: | 2084526366 |
| Fax Number: | 2084526399 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | RPT550 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |