Individual
DR. RYAN POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
(208) 223-2248
(208) 223-2248
Mailing address
3957 AARON LN, POCATELLO, ID 83202-2800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8986
ID
225100000X
Physical Therapist
Primary
PT6575
MS
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/20/2018
Last updated
04/15/2026
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