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

Pocatello Physical Therapy

Organization Physical Therapist · NPI 1548808637

Pocatello Physical Therapy is a Physical Therapist in Pocatello, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

333 N 18th Ave Ste D2
Pocatello, ID 83201-3358
Phone: (208) 232-6490
Fax: (208) 234-4805
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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 number1548808637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Sidwell — Owner, Pt · (208) 232-6490
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address333 N 18th Ave Ste D2, Pocatello, ID 83201-3358

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