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

Physiotherapy PA

Organization Physical Therapist · NPI 1306852850

Physiotherapy PA is a Physical Therapist in Eagle, Idaho. Registered with an NPI since 2006.

In the registry since
2006
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

661 S Rivershore Ln
Eagle, ID 83616-5396
Phone: (208) 938-8020
Fax: (208) 938-8016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306852850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fleckenstein — Administrator · (208) 938-8020
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address661 S Rivershore Ln, Eagle, ID 83616-5396

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