IndividualActive
Selene Bonnell-Hall
NPI 1639542830 · Physical Therapy Assistant · Plummer, ID
Provider details
- NPI number
- 1639542830
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-4116 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 a Street
Plummer, ID 83851
Phone: (208) 686-7041
Fax: (208) 686-5712
Approximate (ZIP-level) locationGet directions
Mailing address
1765 Fairfield Rd
Plummer, ID 83851-9517
Registry dates
- Enumerated
- 2015-11-10
- Last updated
- 2015-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.