| Organization Name: | ADVANCED PERFORMANCE PHYSICAL THERAPY PPLC |
| NPI Number: | 1427072982 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LANCE MARSHALL (OWNER) |
| Mailing Address: | 333 N 18th Ave Ste D-2 Pocatello |
| State: | ID US |
| Postal Code: | 832013358 |
| Phone Number: | 2082326490 |
| Fax Number: | 2082344805 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1003 |
| 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 |