Organization
TALL FAMILY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN ALDON TALL DPT (OWNER)
(208) 970-4833
Entity
Organization
Contact information
Practice address
3630 S 25TH E STE 4, IDAHO FALLS, ID 83404-4993
(208) 970-4833
Mailing address
2230 PTARMIGAN WAY, AMMON, ID 83401-5898
(208) 970-4833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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