OrganizationActive
On the Go Pediatric Therapy LLC
NPI 1366198376 · Pediatric Physical Therapist · Rathdrum, ID
Provider details
- NPI number
- 1366198376
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Linsey Trout Cahan, Owner(208) 540-1990
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14962 N Wright St
Rathdrum, ID 83858-8435
Phone: (208) 540-1990
Approximate (ZIP-level) locationGet directions
Mailing address
14962 N Wright St
Rathdrum, ID 83858-8435
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.