IndividualActive
Chess Carbol
NPI 1760927834 · Physical Therapy Assistant · Pocatello, ID
Provider details
- NPI number
- 1760927834
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4575 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1578 Mountain Shadow Dr
Pocatello, ID 83204-5041
Phone: (208) 220-1369
Approximate (ZIP-level) locationGet directions
Mailing address
1578 Mountain Shadow Dr
Pocatello, ID 83204-5041
Registry dates
- Enumerated
- 2016-12-28
- Last updated
- 2016-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.