Individual
BRIAN JONES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
423 IDAHO ST, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Mailing address
1053 EASTLAND DR, TWIN FALLS, ID 83301-6747
(208) 736-9011
(208) 934-9011
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-4336
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-4336
PHYSICAL THERAPY
ID
Enumeration date
07/17/2018
Last updated
07/17/2018
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