Organization
TAHI PHYSICAL THERAPY PLLC
Active
Organization
TAHI PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY TAHI BROWN PT, MPT, OCS (OWNER)
(208) 522-4481
Entity
Organization
Contact information
Practice address
3345 MERLIN DR STE 100, IDAHO FALLS, ID 83404-7405
(208) 522-4481
(208) 522-6136
Mailing address
3345 MERLIN DR STE 100, IDAHO FALLS, ID 83404-7405
(208) 522-4481
(208) 522-6136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3752
ID
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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