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

Elliot Duane Broadhead, DPT

Individual provider Physical Therapist · NPI 1255996468

Elliot Duane Broadhead, DPT is a Physical Therapist in Sheppard AFB, Texas. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

527 5th Ave #500
Sheppard AFB, TX 76311
Phone: (208) 828-4626
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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 5817 (ID)

Record details

NPI number1255996468
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 13, 2023
Mailing address1410 W Airbase Rd Apt 2, Mountain Home, ID 83647-3344

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