Individual
ASHLEY ANN BERTAGNOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
927 E POLSTON AVE, STE 201, POST FALLS, ID 83854
(208) 773-2888
(208) 806-0222
Mailing address
640 N THORNTON ST, POST FALLS, ID 83854-7495
(208) 773-2888
(208) 806-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3358
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-3358
PHYSICAL THERAPY LICENSE
ID
Enumeration date
03/24/2021
Last updated
08/09/2022
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