Individual
MARK COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
939 S 25TH E STE 104, AMMON, ID 83406-5735
(208) 715-8504
(208) 715-8505
Mailing address
939 S 25TH E STE 104, AMMON, ID 83406-5735
(208) 715-8504
(208) 715-8505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7329
ID
Other
Enumeration date
07/15/2021
Last updated
10/07/2025
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