OrganizationActive
Current Physical Therapy Meridian
NPI 1508647900 · Physical Therapy Assistant · Meridian, ID
Provider details
- NPI number
- 1508647900
- Entity type
- Organization
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Hartley, Member(541) 212-0337
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1020 N. Hickory Ave Unit 3 Ste 115
Meridian, ID 83642
Phone: (208) 314-4988
Fax: (208) 296-7921
Approximate (ZIP-level) locationGet directions
Mailing address
119 S. Valley Dr. Ste a #178
Nampa, ID 83686
Registry dates
- Enumerated
- 2023-10-11
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.