Individual
JUSTIN RODERICK USHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3345 POTOMAC WAY, IDAHO FALLS, ID 83404-4978
(208) 417-0090
Mailing address
126 IDAHO AVE, RIGBY, ID 83442-1412
(510) 541-3477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7270
ID
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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