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

Dr. Branson Lee Fonnesbeck, PT, DPT

Individual provider Physical Therapist · NPI 1487586954

Dr. Branson Lee Fonnesbeck, PT, DPT is a Physical Therapist in Chubbuck, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

265 E Chubbuck Rd Ste A
Chubbuck, ID 83202-5055
Phone: (208) 417-0011
Fax: (888) 437-2431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (ID)

Record details

NPI number1487586954
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateMay 31, 2026

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