Doctor Name: | MS. NANCY L DEVINE |
NPI Number: | 1548482664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT390 |
Business Practice Address: | 1400 E Terry Garrison Bldg. 63 #202 Pocatello, ID - 832090001 |
Business Phone Number: | 2082822590 |
Business Fax Number: | 2082824962 |
Mailing Address: | 1440 Spaulding Ln, POCATELLO |
State: | ID |
Postal Code: | 832012853 |
Phone Number: | 2082387109 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT390 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |