IndividualActive
Breanna Kump, PTA-288
NPI 1982976767 · Physical Therapy Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1982976767
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA-288
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA-288 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
993 Grassland Dr
Idaho Falls, ID 83404-8350
Phone: (208) 406-1129
Approximate (ZIP-level) locationGet directions
Mailing address
993 Grassland Dr
Idaho Falls, ID 83404-8350
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.