IndividualActive
Beau Dobson, PT, DPT, OCS, CSCS
NPI 1245611276 · Physical Therapy Clinic/Center · Nampa, ID
Provider details
- NPI number
- 1245611276
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Credential
- PT, DPT, OCS, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT-4218 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
109 13th Ave S
Nampa, ID 83651-3904
Phone: (209) 995-6671
Approximate (ZIP-level) locationGet directions
Mailing address
17415 N Flagstaff Way
Nampa, ID 83687-5495
Additional practice locations (1)
- 131 Constitution WayNampa, ID 83686Phone: (208) 463-5570
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.