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

Tailer Paige Fowler

Individual provider Physical Therapy Assistant · NPI 1417578519

Tailer Paige Fowler is a Physical Therapy Assistant in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

3111 Channing Way
Idaho Falls, ID 83404-7534
Phone: (208) 529-0067
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5113 (ID)

Record details

NPI number1417578519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020

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