Reagan E Fernley, PTA
Reagan E Fernley, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Homedale, Idaho. Licensed in Idaho. Registered with an NPI since 2024.
- Licensed in
- ID
- In the registry since
- 2024
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
134 E Idaho AveHomedale, ID 83628-5003
Phone: (208) 337-3254
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 8554 (ID) |
|---|
Record details
| NPI number | 1881459543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | February 20, 2024 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |