IndividualActive
Bryan Lawson, PT
NPI 1639739022 · Physical Medicine & Rehabilitation Physician · Pocatello, ID
Provider details
- NPI number
- 1639739022
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT-6198 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
920 Deon Dr
Ste D
Pocatello, ID 83201
Phone: (208) 425-1470
Fax: (108) 425-1471
Approximate (ZIP-level) locationGet directions
Mailing address
920 Deon Dr
Pocatello, ID 83201
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2024-07-25
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.