IndividualActive
Alicia Johnson
NPI 1861815185 · Physical Therapy Assistant · Burley, ID
Provider details
- NPI number
- 1861815185
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3197 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1501 Hiland Ave
Burley, ID 83318-2688
Phone: (208) 677-6503
Fax: (208) 677-6306
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Hiland Ave
Burley, ID 83318-2688
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2014-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.