Physio Shop Idaho LLC
Physio Shop Idaho LLC is a Physical Therapist in Idaho Falls, Idaho. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2283 E 17th StIdaho Falls, ID 83404
Phone: (208) 317-1736
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1750242889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tyler Johnson — Physical Therapist · (208) 317-1736 |
| NPI enumerated | November 19, 2025 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 6, 2025 |
| Mailing address | 2283 E 17th St, Idaho Falls, ID 83404 |
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Mr. Jay R Mills, DPT
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Casondra Dawn Pahis, DPT
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Performance Therapy, LLC
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Dr. Zachary Lynn Pugmire, DPT
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Renaissance Rehab
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