Individual provider · Type 1 NPI

Brandon Phoenix Kallgren, DPT

Physical Therapist · Idaho Falls, ID

NPI number 1265317341 Active

Practice location

3155 Channing Way Ste D
Idaho Falls, ID 83404-7875

Call (208) 973-4170 Map

Mailing address

198 Whittier St
Idaho Falls, ID 83402-2207

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5171576 (ID)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1265317341

Brandon Phoenix Kallgren, DPT's National Provider Identifier is 1265317341, issued on Aug 8, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 8, 2025.