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Individual

SHAYLEIGH DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2570 CHANNING WAY, IDAHO FALLS, ID 83404-7515
(208) 529-8005
(208) 529-0251
Mailing address
940 S 5TH W APT 9203, REXBURG, ID 83440-1043
(208) 241-3546

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4571342
ID

Other

Enumeration date
01/20/2025
Last updated
01/20/2025
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