Individual
TESSA MARJEAN WOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 S 55TH W, IDAHO FALLS, ID 83402-5733
(208) 613-7361
Mailing address
1257 S 2800 W, ABERDEEN, ID 83210-1513
(208) 397-8088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5571542
ID
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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