# WEBER PHYSICAL THERAPY AND WELLNESS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770101966
- **Authorized official:** DR. CAROLYN WEBER DPT (OWNER)
- **Authorized official phone:** (505) 412-8384

## Contact information

- **Practice address:** 580 FAIRMONT AVE, POCATELLO, ID 83201-3808
- **Practice address phone:** (505) 412-8384
- **Practice address fax:** (208) 908-7115
- **Mailing address:** 580 FAIRMONT AVE, POCATELLO, ID 83201-3808
- **Mailing address phone:** (505) 412-8384
- **Mailing address fax:** (208) 908-7115

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 09/08/2021