Organization Name: | FAMILY PHYSICAL THERAPY & SPORTS MEDICINE CLINIC |
NPI Number: | 1699973826 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID B LITTLE (OWNER / PHYSICAL THERAPIST) |
Mailing Address: | 834 Falls Ave Ste 1250 Twin Falls |
State: | ID US |
Postal Code: | 833013364 |
Phone Number: | 2087333900 |
Fax Number: | 2087333908 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | RPT357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |