Organization
ELEVATE208 PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KIFER DPT (DOCTOR OF PHYSICAL THERAPY)
(307) 254-1858
Entity
Organization
Contact information
Practice address
7736 N GOVERNMENT WAY STE 1, DALTON GARDENS, ID 83815-8772
(307) 254-1858
Mailing address
7736 N GOVERNMENT WAY STE 1, DALTON GARDENS, ID 83815-8772
(208) 715-7303
(208) 498-2869
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
02/19/2026
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