Individual
JESSE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
217 N 2ND E, REXBURG, ID 83440-1621
(208) 359-6127
(208) 359-9479
Mailing address
217 N 2ND E, REXBURG, ID 83440-1621
(208) 359-6127
(208) 359-9479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8804
ID
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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