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

Tevagene Bragg

Individual provider Physical Therapy Assistant · NPI 1255960688

Tevagene Bragg is a Physical Therapy Assistant in Salmon, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

203 S Daisy St
Salmon, ID 83467-4709
Phone: (208) 756-5600
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (ID)

Record details

NPI number1255960688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020
Mailing address51 Country Living Ln, Salmon, ID 83467-5372