Graduated: 1996
NPI: 1962547257
Practice Locations (2)
POCATELLO PHYSICAL THERAPY
333 N 18TH AVE
POCATELLO, ID 832013358
2082326490
POCATELLO PHYSICAL THERAPY
333 N 18TH AVE, SUITE D2
POCATELLO, ID 832013358
2082326490
Source: CMS National Downloadable File, September 2026.