Graduated: 2021
NPI: 1639745540
Practice Locations (2)
PHOENIX PHYSICAL THERAPY PLLC
1470 HOLLIPARK DR, SUITE AANDB
IDAHO FALLS, ID 834012160
2087542127
PHOENIX PHYSICAL THERAPY PLLC
IONA, ID 83427
2087542127
Source: CMS National Downloadable File, September 2026.