Individual
DEREK RONALD STRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1510 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-7627
(208) 524-6300
Mailing address
2413 EAGLE DR APT 201, AMMON, ID 83406-5743
(801) 919-6936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4261873
ID
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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