Individual
JEFFREY MICHAEL DENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2085 ALAN ST APT 1, IDAHO FALLS, ID 83404-5792
(208) 360-9151
Mailing address
205 SOUTHPOINT BLVD, IDAHO FALLS, ID 83404-4919
(208) 360-9151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7261
ID
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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