Tevagene Bragg
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 StSalmon, ID 83467-4709
Phone: (208) 756-5600
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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 (ID) |
|---|
Record details
| NPI number | 1255960688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 7, 2020 |
| Last updated in NPPES | April 7, 2020 |
| Certification date | April 7, 2020 |
| Mailing address | 51 Country Living Ln, Salmon, ID 83467-5372 |