IndividualActive
Alicia Siddoway, RPT
NPI 1679748248 · Physical Therapist · Rexburg, ID
Provider details
- NPI number
- 1679748248
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT437 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Professional Plz
Rexburg, ID 83440-2024
Phone: (208) 359-2500
Fax: (208) 359-2502
Approximate (ZIP-level) locationGet directions
Mailing address
1 Professional Plz
Rexburg, ID 83440-2024
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2016-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.