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

Emilio Kenneth Guerrero, PTA

Individual provider Physical Therapy Assistant · NPI 1457964876

Emilio Kenneth Guerrero, PTA is a Physical Therapy Assistant in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1957 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 235-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6157 (ID)

Record details

NPI number1457964876
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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