OrganizationActive
Advanced Physical Therapy & Wound Center, PLLC
NPI 1356754147 · Physical Therapist · Rexburg, ID
Provider details
- NPI number
- 1356754147
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Alicia Siddoway, Director of Therapy
Practice location
1 Professional Plz
Rexburg, ID 83440-2024
Phone: (208) 359-2500
Fax: (208) 359-2502
Mailing address
Po Box 322
Rexburg, ID 83440-0322
Registry dates
- Enumerated
- 2014-06-09
- Last updated
- 2015-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.