Individual provider · Type 1 NPI

David Thibodeau

Physical Therapy Assistant · Driggs, ID

NPI number 1811720550 Active

Practice location

285 E Little Ave
Driggs, ID 83422-5137

Mailing address

2146 Highland Way
Victor, ID 83455-5411

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPA6882 (ME)
Physical Therapy Assistant Primary 225200000X3061178 (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 1811720550

David Thibodeau's National Provider Identifier is 1811720550, issued on Aug 20, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Driggs, ID. The record was last updated on Aug 20, 2024.