National Provider Identifier Database

DYNAMIC PHYSICAL THERAPY PLLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

DYNAMIC PHYSICAL THERAPY PLLC
1023 21ST ST
LEWISTON, ID83501-3415
Phone: 208-743-1795
Fax: 208-743-1791
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for DYNAMIC PHYSICAL THERAPY PLLC

NPI Number 1619360245
Legal business name
LBN
DYNAMIC PHYSICAL THERAPY PLLC
Authorized official JOHANNA STREHLE - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 03/06/2015
Last updated 12/21/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: PT-1861

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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