Individual
JEFFREY ROBERT GIRTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
167 E 1ST STREET, RIGBY, ID 83442
(208) 745-8747
(208) 529-9581
Mailing address
2037 E 17TH ST, IDAHO FALLS, ID 83404-6430
(208) 529-3355
(208) 529-9581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT745
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010021739
BLUE SHIELD
ID
01
—
T7283
BLUE CROSS
ID
Enumeration date
12/19/2006
Last updated
07/08/2007
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