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

Ellen Ferrenburg

Individual provider Physical Therapy Assistant · NPI 1770106502

Ellen Ferrenburg is a Physical Therapy Assistant in Star, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

64 S Star Rd
Star, ID 83669-5497
Phone: (208) 488-4250
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 6898 (ID)

Record details

NPI number1770106502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing address7719 W Preece Dr Apt 102, Boise, ID 83704-9088

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