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Contact Information

JESSICA A VANDYKE, DPT
282 W BRIDGE ST
BLACKFOOT, ID83221
 Phone: 208-684-0021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JESSICA A VANDYKE · (Female)

NPI Number 1104394659
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 11/02/2018
Last updated 09/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-5957
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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