IndividualActive
John Phillips, MT
NPI 1306155320 · Mechanotherapist · Pocatello, ID
Provider details
- NPI number
- 1306155320
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- License
- POCATELLO BL3582 (ID)
Specialties & taxonomies
Other Service Providers
Practice location
726 E Hayden St
Pocatello, ID 83201-6226
Phone: (208) 317-3278
Fax: (208) 232-2295
Approximate (ZIP-level) locationGet directions
Mailing address
726 E Hayden St
Pocatello, ID 83201-6226
Registry dates
- Enumerated
- 2010-09-27
- Last updated
- 2010-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.