IndividualActive
Nancy Hernandez, DPT
NPI 1588312730 · Pediatric Physical Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1588312730
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT-6764 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1460 Elk Creek Dr
Idaho Falls, ID 83404-8237
Phone: (208) 881-8879
Approximate (ZIP-level) locationGet directions
Mailing address
1460 Elk Creek Dr
Idaho Falls, ID 83404-8237
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.