# SAWTOOTH REHAB, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164712899
- **Authorized official:** MR. ERIC D ROBERTS MSPT, CSCS (OWNER)
- **Authorized official phone:** (208) 522-7627

## Contact information

- **Practice address:** 3422 S 15TH E, IDAHO FALLS, ID 83404-8262
- **Practice address phone:** (208) 522-7627
- **Practice address fax:** (208) 524-6300
- **Mailing address:** 3422 S 15TH E, IDAHO FALLS, ID 83404-8262
- **Mailing address phone:** (208) 522-7627
- **Mailing address fax:** (208) 524-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | PT-2268 | ID | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011