Graduated: 2023
NPI: 1194570051
Practice Locations (2)
MOUNTAIN LAND REHABILITATION LLC
1680 1ST ST
IDAHO FALLS, ID 834014321
2084170090
REGISTERED PHYSICAL THERAPISTS INC
1868 W 9800, SUITE 200
SOUTH JORDAN, UT 840954713
8016762210
Source: CMS National Downloadable File, September 2026.