Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hailey Sport and Spine Physical Therapy PA

Organization Physical Therapist · NPI 1184612772

Hailey Sport and Spine Physical Therapy PA provides Physical Therapist services in Hailey, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 S Main St Ste 7A
Hailey, ID 83333-8426
Phone: (208) 788-6312
Fax: (208) 578-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1168 (ID)

Record details

NPI number1184612772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Mazik — Owner · (208) 788-6312
Other names Hailey Sport And Spine
NPI enumeratedOctober 8, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1693, 810 S Main St Ste 7a, Hailey, ID 83333-1693

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