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

Pocatello Physical Therapy Clinic PA

Organization Physical Therapist · NPI 1184707911

Pocatello Physical Therapy Clinic PA provides Physical Therapist services in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

1033 W Quinn Rd
Pocatello, ID 83202-2425 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 233-4800
Fax: (208) 233-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (ID)

Record details

NPI number1184707911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Des Fosses — President Owner · (208) 233-4800
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 10, 2011
Mailing addressPo Box 2844, Pocatello, ID 83206-2844

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