Individual
DAVID LYNN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T., L.A.T, A.T.C
Contact information
Practice address
363 TYRA DR, IDAHO FALLS, ID 83401-4437
(208) 681-2525
Mailing address
363 TYRA DR, IDAHO FALLS, ID 83401-4437
(208) 681-2525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-322
ID
2255A2300X
Athletic Trainer
AT-004
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043961
—
ID
Enumeration date
04/16/2007
Last updated
09/11/2025
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