Organization
SPINE AND SPORT PYSICAL THERAPY PC
Active
Organization
SPINE AND SPORT PYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY BOYD RAWLINGS P.T. (PHYSICAL THERAPIST)
(208) 359-6127
Entity
Organization
Contact information
Practice address
217 N 2ND EAST, REXBURG, ID 83440-1621
(208) 359-6127
(208) 359-9479
Mailing address
217 N 2ND EAST, REXBURG, ID 83440-2057
(208) 359-6127
(208) 359-9479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1346
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010020600
REGENCE BLUE SHIELD
ID
01
—
185556100
US DEPARTMENT OF LABOR
—
01
—
650015362
RAILROAD MEDICARE
—
05
—
805399800
—
ID
01
—
T3860
BLUE CROSS
ID
Enumeration date
03/06/2008
Last updated
12/18/2025
Update your record
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