Chess Carbol
Chess Carbol is a Physical Therapy Assistant in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
1578 Mountain Shadow DrPocatello, ID 83204-5041
Phone: (208) 220-1369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 4575 (ID) |
|---|
Record details
| NPI number | 1760927834 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 28, 2016 |
| Last updated in NPPES | December 28, 2016 |
| Mailing address | 1578 Mountain Shadow Dr, Pocatello, ID 83204-5041 |
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