COLUMBUS CANDIES PT MPA/HA PH.D. NPI 1366701948

NPI Information

NPI: 1366701948
Provider Name: COLUMBUS CANDIES, PT MPA/HA PH.D.
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
1611 N WHITLEY DR STE 1A
FRUITLAND, ID
ZIP 83619
Phone: (208) 452-0021
Get Directions

Columbus Candies, PT MPA/HA PH.D. is an orthopedic physical therapist in Fruitland, ID. The provider is 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 practice. Columbus Candies, PT MPA/HA PH.D. NPI is 1366701948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 N WHITLEY DR STE 1A
FRUITLAND, ID
ZIP 83619-180
Phone: (208) 452-0021
Fax: (208) 452-0019

The enumeration date for this NPI number is 5/16/2012 and was last updated on 10/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		PT-1689	IDAHO	No
2	2251X0800X	Physical Therapist	Orthopedic	1304798	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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