IndividualActive
Candelaria Wold, PTA
NPI 1336021807 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1336021807
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-7253 (ID)
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2025-07-24
- Last updated
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.