IndividualActive
Alyssa Thierer
NPI 1295306454 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1295306454
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7467 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
960 S Broadway Ave Ste 200
Boise, ID 83706-3667
Phone: (208) 433-9211
Approximate (ZIP-level) locationGet directions
Mailing address
503 E 50th St Unit 206
Garden City, ID 83714-1450
Registry dates
- Enumerated
- 2021-07-08
- Last updated
- 2021-07-08
- Certified
- 2021-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.