IndividualActive
Darci Davis, PTA
NPI 1144774340 · Physical Therapy Assistant · Rexburg, ID
Provider details
- NPI number
- 1144774340
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA-4539 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36 Winn Dr
Rexburg, ID 83440-5277
Phone: (208) 356-0174
Fax: (208) 356-0176
Approximate (ZIP-level) locationGet directions
Mailing address
36 Winn Dr
Rexburg, ID 83440-5277
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2016-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.