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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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