Individual
ALYSSA HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 HOLLIPARK DR STE A, IDAHO FALLS, ID 83401-2160
(208) 754-2127
Mailing address
3446 W 3700 N, MOORE, ID 83255-8776
(208) 881-6246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7281315
ID
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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