Doctor Name: | SARAH INGALLS |
NPI Number: | 1215365168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 8555982-2401 |
Business Practice Address: | 4425 Burley Dr Chubbuck, ID - 832021957 |
Business Phone Number: | 2086371100 |
Business Fax Number: | |
Mailing Address: | 1349 E Bridger St, POCATELLO |
State: | ID |
Postal Code: | 832014739 |
Phone Number: | 9095196918 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8555982-2401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |