Individual
REAGAN RONALD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
931 CENTER ST W STE C, KIMBERLY, ID 83341-5326
(208) 423-9999
(208) 423-9998
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 969-9945
(208) 944-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4532
ID
225100000X
Physical Therapist
7832781-2401
UT
Other
Enumeration date
05/24/2016
Last updated
05/21/2021
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