# MCDONALD REHAB, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCDONALD REHAB, PC
- **Other names:** Superior Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194243691
- **Legal business name:** MCDONALD REHAB, PC
- **Authorized official:** MR. BART W MCDONALD MPT (OWNER)
- **Authorized official phone:** (208) 233-2248

## Contact information

- **Practice address:** 3345 POTOMAC WAY STE B, IDAHO FALLS, ID 83404-4978
- **Practice address phone:** (208) 417-0090
- **Practice address fax:** (208) 417-0092
- **Mailing address:** 1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
- **Mailing address phone:** (208) 233-2248
- **Mailing address fax:** (208) 233-0219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 07/21/2022