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

Raymond Wayne, PTA

Individual provider Physical Therapy Assistant · NPI 1386013373

Raymond Wayne, PTA is a Physical Therapy Assistant in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015
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

3054 Sandstone Dr
Idaho Falls, ID 83404-6824
Phone: (208) 522-0838
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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-2712 (ID)

Record details

NPI number1386013373
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 19, 2015
Last updated in NPPESSeptember 19, 2015

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