OrganizationActive
Ellis Physical Therapy and Associates LLC
NPI 1821628645 · Physical Therapy Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1821628645
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Logan Bradley, Owner
Practice location
3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Phone: (208) 523-8879
Mailing address
3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.