IndividualActive
Aaron Groll
NPI 1083488951 · Physical Therapy Assistant · Pocatello, ID
Provider details
- NPI number
- 1083488951
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA-5581 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1800 Flandro Dr Ste 190
Pocatello, ID 83202-4940
Phone: (208) 233-2248
Approximate (ZIP-level) locationGet directions
Mailing address
164 N 400 W
Blackfoot, ID 83221-5635
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
- Certified
- 2023-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.