Organization
EMPOWER PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN STODDARD DPT (OWNER)
(208) 403-7422
Entity
Organization
Contact information
Practice address
804 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 403-7422
Mailing address
3716 E 343 N, RIGBY, ID 83442-5326
(208) 403-7422
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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