OrganizationActive
Performance Physio PLLC
NPI 1073097390 · Physical Therapy Clinic/Center · Lewiston, ID
Provider details
- NPI number
- 1073097390
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Palmer, Owner(509) 780-1090
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
621 Main St Ste a
Lewiston, ID 83501-1871
Phone: (509) 769-7551
Fax: (509) 254-5018
Approximate (ZIP-level) locationGet directions
Mailing address
621 Main St Ste a
Lewiston, ID 83501-1871
Other names (DBA / former)
- Doing business as
- Performance Health and Wellness
- Doing business as
- Performance Physio
Registry dates
- Enumerated
- 2018-09-21
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.