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

Mrs. Daelene Sueann Tibbitts, PTA

Individual provider Physical Therapy Assistant · NPI 1891247912

Mrs. Daelene Sueann Tibbitts, PTA is a Physical Therapy Assistant in Mountain Home, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
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

1665 E 5th N
Mountain Home, ID 83647
Phone: (208) 598-5047
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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 PTA-4637 (ID)

Record details

NPI number1891247912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESOctober 25, 2016

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