| Doctor Name: | BRET MAIERS |
| NPI Number: | 1497061782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT60168625 |
| Business Practice Address: | 220 Millpond Suite 109 Stansbury Park, UT - 840749745 |
| Business Phone Number: | 4358824144 |
| Business Fax Number: | 4358824151 |
| Mailing Address: | 1900 Flandro Dr 190, POCATELLO |
| State: | ID |
| Postal Code: | 832021975 |
| Phone Number: | 2082332248 |
| Fax Number: | 2082330219 |
| NPI Enumeration Date: | 08/24/2010 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60168625 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |