Douglas Wayne Ball, MPTATC
Douglas Wayne Ball, MPTATC is a Physical Therapist in Private Practice in Soda Springs, Idaho. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 28
- Licensed in
- ID
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
316 W 2nd SSoda Springs, ID 83276-1515
Phone: (208) 547-3125
Fax: (208) 547-0715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT-1662 (ID) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1891916359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MPTATC |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | September 30, 2019 |
| Mailing address | 801 S 1st E, Grace, ID 83241-5386 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Soda Springs
-
Craig Harden Richardson, LAT, ATC
366 N 2nd E, Soda Springs, ID 83276-1218 · (435) 535-5381