IndividualActive
Anthony Powell, PTA
NPI 1003471665 · Physical Therapy Assistant · Pocatello, ID
Provider details
- NPI number
- 1003471665
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA3510 (ID)
Mailing address
256 S Johnson Ave
Pocatello, ID 83204-4228
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2019-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.