Organization
SPECIALIZED PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN ROBERT HIGBEE PT,DPT (OWNER)
(208) 242-8617
Entity
Organization
Contact information
Practice address
4141 POLELINE RD STE A, POCATELLO, ID 83202
(208) 242-8617
(833) 698-2470
Mailing address
4141 POLELINE RD STE A, POCATELLO, ID 83202-4904
(208) 242-8617
(833) 698-2470
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-3095
ID
261QP2000X
Physical Therapy Clinic/Center
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Other
Enumeration date
04/18/2016
Last updated
10/29/2019
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