IndividualActive
Abigail Crandall
NPI 1982301982 · Physical Therapy Assistant · Rexburg, ID
Provider details
- NPI number
- 1982301982
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA8612 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36 Winn Dr Ste 100
Rexburg, ID 83440-5277
Phone: (208) 356-0174
Fax: (208) 356-0176
Approximate (ZIP-level) locationGet directions
Mailing address
1209 N 990 E
Shelley, ID 83274-5177
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.