IndividualActive
Emilio Guerrero, PTA
NPI 1457964876 · Physical Therapy Assistant · Pocatello, ID
Provider details
- NPI number
- 1457964876
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 6157 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1957 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 235-7800
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2020-08-25
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.