Gregary Gradon Burch, PT

Physical Therapist · Pocatello, ID

Individual Active NPI

NPI number 1629761226

Practice location

4141 Poleline Rd Ste a
Pocatello, ID 83202-4904
Phone
(208) 242-8617
Fax
(833) 608-2470

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NPI record

NPI
1629761226
Entity type
Individual (Type 1)
Enumeration date
May 30, 2023
Last updated
May 30, 2023
Certified
May 30, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT-8623 ID

About Gregary Burch

Gregary Gradon Burch, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4141 Poleline Rd Ste a, Pocatello, ID 83202-4904. The NPI number 1629761226 was assigned on May 30, 2023 and the record was last updated on May 30, 2023.

Gregary Burch lists a license in the registry: #PT-8623 (ID) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregary Gradon Burch, PT?

The NPI number is 1629761226.

What is the phone number of Gregary Burch?

The phone number listed for the practice location is (208) 242-8617.

Where is Gregary Burch located?

4141 Poleline Rd Ste a, Pocatello, ID 83202-4904.

What is the taxonomy code for Gregary Burch?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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