REAGAN E FERNLEY, PTA – NPI #1881459543
Sports Medicine

NPI Profile for REAGAN E FERNLEY in HOMEDALE, ID.

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

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Contact Information

REAGAN E FERNLEY, PTA

134 E IDAHO AVE
HOMEDALE, ID 83628-5003

Phone: 208-337-3254
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sports Medicine	2081S0010X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for REAGAN E FERNLEY · (Female)

NPI #	`1881459543`
Status	Active
Credentials	PTA (Physical Therapist Assistant)
Entity	Individual
Enumeration date	02/20/2024
Last updated	02/20/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	ID License # 8554
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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