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

Mr. Kevin Charles Stanforth, PT

Individual provider Physical Therapist · NPI 1760677306

Mr. Kevin Charles Stanforth, PT is a Physical Therapist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

374 12th St
Idaho Falls, ID 83404-5369
Phone: (208) 201-0432
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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 1846 (ID)

Record details

NPI number1760677306
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007

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