Organization
HOMETOWN PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SIMMONS (AUTHORIZED OFFICIAL)
(208) 390-1793
Entity
Organization
Contact information
Practice address
245 MAIN ST, RIRIE, ID 83443
(208) 390-1793
Mailing address
PO BOX 273, RIRIE, ID 83443-0273
(208) 900-6336
(208) 900-4408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
04/07/2023
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