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

David Thibodeau

Individual provider Physical Therapy Assistant · NPI 1811720550

David Thibodeau is a Physical Therapy Assistant in Driggs, Idaho. Licensed in Idaho and Maine. Registered with an NPI since 2024.

Licensed in
ID, ME
In the registry since
2024
Specialties on file
2

Practice location Address checks out

285 E Little Ave
Driggs, ID 83422-5137
Phone: (208) 354-1999
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 3061178 (ID)
Physical Therapy Assistant Taxonomy 225200000X · Licence PA6882 (ME)

Record details

NPI number1811720550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address2146 Highland Way, Victor, ID 83455-5411

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