Organization
PICK PT PHYSICAL THERAPY LLC
Active
Organization
PICK PT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELL PICKERING (OWNER/PHYSICAL THERAPIST)
(208) 701-1800
Entity
Organization
Contact information
Practice address
2277 E LINCOLN RD, IDAHO FALLS, ID 83401-2202
(208) 534-7001
Mailing address
2277 E LINCOLN RD, IDAHO FALLS, ID 83401-2202
(208) 881-3616
(208) 534-7002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/31/2022
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