Individual provider · Type 1 NPI

Tiffany Heather Maxwell, PTA

Physical Therapy Assistant · Idaho Falls, ID

NPI number 1063268753 Active

Practice location

2037 E 17th St
Idaho Falls, ID 83404-6430

Call (208) 529-3355 Map

Fax (208) 529-9581

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA5326 (ID)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1063268753

Tiffany Heather Maxwell, PTA's National Provider Identifier is 1063268753, issued on Apr 24, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 29, 2025.