Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hailey Sport and Spine Physical Therapy PA

Organization Physical Therapist · NPI 1184612772

Hailey Sport and Spine Physical Therapy PA is a Physical Therapist in Hailey, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 S Main St Ste 7A
Hailey, ID 83333-8426
Phone: (208) 788-6312
Fax: (208) 578-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1168 (ID)

Record details

NPI number1184612772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Mazik — Owner · (208) 788-6312
Other names Hailey Sport And Spine
NPI enumeratedOctober 8, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1693, 810 S Main St Ste 7a, Hailey, ID 83333-1693

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