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Individual

CRAIG GODFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1001 N 7TH AVE STE 280, POCATELLO, ID 83201-5788
(208) 239-1490
Mailing address
1001 N 7TH AVE STE 205, POCATELLO, ID 83201-5761
(208) 239-1490

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5204
ID

Other

Enumeration date
06/29/2022
Last updated
09/23/2024
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