IndividualActive
Ellen Ferrenburg
NPI 1770106502 · Physical Therapy Assistant · Star, ID
Provider details
- NPI number
- 1770106502
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6898 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
64 S Star Rd
Star, ID 83669-5497
Phone: (208) 488-4250
Approximate (ZIP-level) locationGet directions
Mailing address
7719 W Preece Dr Apt 102
Boise, ID 83704-9088
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.