David Thibodeau
Physical Therapy Assistant · Driggs, ID
Practice location
285 E Little AveDriggs, ID 83422-5137
- Phone
- (208) 354-1999
NPI record
- NPI
- 1811720550
- Entity type
- Individual (Type 1)
- Enumeration date
- August 20, 2024
- Last updated
- August 20, 2024
- Certified
- August 20, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
3061178 | ID |
| Physical Therapy Assistant | 225200000X |
PA6882 | ME |
Mailing address
2146 Highland WayVictor, ID 83455-5411
About David Thibodeau
David Thibodeau is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 285 E Little Ave, Driggs, ID 83422-5137. The NPI number 1811720550 was assigned on August 20, 2024 and the record was last updated on August 20, 2024.
David Thibodeau lists 2 licenses in the registry: #3061178 (ID) for Physical Therapy Assistant; #PA6882 (ME) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of David Thibodeau?
The NPI number is 1811720550.
What is the phone number of David Thibodeau?
The phone number listed for the practice location is (208) 354-1999.
Where is David Thibodeau located?
285 E Little Ave, Driggs, ID 83422-5137.
What is the taxonomy code for David Thibodeau?
The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.
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.
Other Physical Therapy Assistant providers in Driggs
- Heather Elizabeth Johnston600 Valley Centre Dr
- Elaine J. Spang, PTA50 Ski Hill Rd