Individual provider · Type 1 NPI

Shelbie Stanger, PTA

Physical Therapy Assistant · Pocatello, ID

NPI number 1508774043 Active

Practice location

9576 Snowberry Cir
Pocatello, ID 83204-7280

Call (208) 221-4015 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9581211 (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 1508774043

Shelbie Stanger, PTA's National Provider Identifier is 1508774043, issued on Aug 27, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 27, 2026.