Individual
TIMOTHY SALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
921 S UTAH AVE, IDAHO FALLS, ID 83402
(208) 701-2951
Mailing address
921 S UTAH AVE, IDAHO FALLS, ID 83402
(208) 701-2951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9148
ID
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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