Individual
COLBY C EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 CURLEW DR, AMMON, ID 83406-4718
(208) 516-1204
(208) 577-6477
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 516-1204
(208) 577-6477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7233
ID
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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