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

Columbus Candies, PTMPA/HAPHD

Individual provider Orthopedic Physical Therapist · NPI 1366701948

Columbus Candies, PTMPA/HAPHD is an Orthopedic Physical Therapist in Fruitland, Idaho. Licensed in Idaho and Texas. Registered with an NPI since 2012.

Licensed in
ID, TX
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1611 N Whitley Dr Ste 1A
Fruitland, ID 83619-2180
Phone: (208) 452-0021
Fax: (208) 452-0019
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 1304798 (TX)
Physical Therapist Taxonomy 225100000X · Licence PT-1689 (ID)

Record details

NPI number1366701948
Entity typeIndividual (Type 1)
GenderMale
Credentials PTMPA/HAPHD
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESOctober 9, 2018

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