Individual
DR. TIMOTHY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
588 FORT HALL AVE, AMERICAN FALLS, ID 83211-1240
(208) 233-2248
Mailing address
128 VISTA DR, POCATELLO, ID 83201-5824
(208) 233-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8318
ID
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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