OrganizationActive
208 Physical Therapy LLC
NPI 1851016356 · Orthopedic Physical Therapist · Rexburg, ID
Provider details
- NPI number
- 1851016356
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Tyrel Nelson, Owner
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.