IndividualActive
Alex Godderidge, DPT
NPI 1942951736 · Physical Therapist · Boise, ID
Provider details
- NPI number
- 1942951736
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-7679 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12072 W Mcmillan Rd
Boise, ID 83713-2462
Phone: (208) 939-0533
Fax: (208) 939-3341
Approximate (ZIP-level) locationGet directions
Mailing address
119 S. Valley Dr. Ste a #178
Nampa, ID 83686
Additional practice locations (1)
- 2175 N Whitley DrFruitland, ID 83619-2132Phone: (208) 452-7197Fax: (208) 452-4811
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.