IndividualActive
Alyssa Hawley
NPI 1093646481 · Physical Therapy Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1093646481
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7281315 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1470 Hollipark Dr Ste a
Idaho Falls, ID 83401-2160
Phone: (208) 754-2127
Approximate (ZIP-level) locationGet directions
Mailing address
3446 W 3700 N
Moore, ID 83255-8776
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.