OrganizationActive
Hannah'S Place LLC
NPI 1245653468 · Pediatric Physical Therapist · Chubbuck, ID
Provider details
- NPI number
- 1245653468
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- John Bates, Owner(208) 904-1112
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
240 W Burnside Ave Ste D
Chubbuck, ID 83202
Phone: (208) 904-1112
Fax: (866) 818-2688
Approximate (ZIP-level) locationGet directions
Mailing address
240 W Burnside Ave Ste D
Chubbuck, ID 83202
Registry dates
- Enumerated
- 2014-01-23
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.