Organization
FORM FIRST REHAB AND ATHLETICS
Active
Organization
FORM FIRST REHAB AND ATHLETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO JIMENEZ DPT (OWNER)
(208) 539-1093
Entity
Organization
Contact information
Practice address
148 CHENEY DR W STE 400, TWIN FALLS, ID 83301-6098
(208) 539-1093
Mailing address
148 CHENEY DR W STE 400, TWIN FALLS, ID 83301-6098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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