Individual provider · Type 1 NPI

Columbus Candies, PT MPA/HA PH.D.

Orthopedic Physical Therapist · Fruitland, ID

NPI number 1366701948 Active

Practice location

1611 N Whitley Dr Ste 1A
Fruitland, ID 83619-2180

Fax (208) 452-0019

Mailing address

401 W Slaughter Ln, Ste 300
Austin, TX 78748-1774

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X1304798 (TX)
Physical Therapist 225100000XPT-1689 (ID)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1366701948

Columbus Candies, PT MPA/HA PH.D.'s National Provider Identifier is 1366701948, issued on May 16, 2012. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Fruitland, ID. The record was last updated on Oct 9, 2018.