IndividualActive
Angela Hale
NPI 1396148029 · Physical Therapy Assistant · Mountain Home, ID
Provider details
- NPI number
- 1396148029
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA-3677 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
895 N 6th E
Mountain Home, ID 83647-2207
Phone: (208) 587-8405
Approximate (ZIP-level) locationGet directions
Mailing address
6305 Birch Ln Apt 201
Nampa, ID 83687-4142
Registry dates
- Enumerated
- 2014-10-08
- Last updated
- 2014-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.