OrganizationActive
Sun Valley Sports Rehabilitation
NPI 1639229115 · Sports Physical Therapist · Ketchum, ID
Provider details
- NPI number
- 1639229115
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Colleen Coyne, President, Owner
- License
- PT-332 (ID)
Practice location
245 Raven Rd
Ketchum, ID 83340
Phone: (208) 726-7246
Fax: (208) 726-8911
Mailing address
Po Box 2062
Ketchum, ID 83340-2062
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2012-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.