Individual
CHRISTOPHER DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1615 CURLEW DR, AMMON, ID 83406-4718
(208) 516-1204
(208) 577-6744
Mailing address
1411 FALLS AVE E STE 415, TWIN FALLS, ID 83301-3455
(208) 969-9945
(208) 944-0448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5535
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5535
STATE LICENSE
ID
Enumeration date
05/23/2018
Last updated
05/23/2018
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