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

Angelina Lavrikova

Individual provider Physical Therapy Assistant · NPI 1417797309

Angelina Lavrikova is a Physical Therapy Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

5255 W Overland Rd
Boise, ID 83705-2637
Phone: (208) 338-9486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-9095 (ID)

Record details

NPI number1417797309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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