IndividualActive
Elaine Spang, PTA
NPI 1487862876 · Physical Therapy Assistant · Driggs, ID
Provider details
- NPI number
- 1487862876
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA222 (ID)
Practice location
50 Ski Hill Rd
Driggs, ID 83422
Phone: (208) 354-3128
Fax: (208) 354-3128
Mailing address
Po Box 1612
Idaho Falls, ID 83403-1612
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.