IndividualActive
Ammon Birk, DPT
NPI 1851889182 · Physical Therapist · Kimberly, ID
Provider details
- NPI number
- 1851889182
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT-4245 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
940 Ballard Way
Kimberly, ID 83341
Phone: (801) 874-0479
Approximate (ZIP-level) locationGet directions
Mailing address
940 Ballard Way
Kimberly, ID 83341-5162
Registry dates
- Enumerated
- 2018-04-23
- Last updated
- 2018-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.