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

Michael Davis

Individual provider Physical Therapist · NPI 1629582002

Michael Davis is a Physical Therapist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017

Practice location Address checks out

2093 Irene Ln
Idaho Falls, ID 83404-7167
Phone: (870) 759-0424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-4771 (ID)

Record details

NPI number1629582002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESNovember 21, 2017
Mailing address2093 Irene Ln, Idaho Falls, ID 83404-7167

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