MRS. DAELENE TIBBITTS, PTA

Physical Therapy Assistant

Active Individual
NPI: 1891247912

Practice Address

1665 E 5TH N
Mountain Home, ID 83647

Phone: (208) 598-5047

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA-4637 (ID)

Frequently Asked Questions

NPI 1891247912 is the National Provider Identifier for MRS. DAELENE TIBBITTS, PTA, a Physical Therapy Assistant provider located in Mountain Home, ID. This NPI was enumerated on October 25, 2016.
MRS. DAELENE TIBBITTS, PTA practices at 1665 E 5TH N, Mountain Home, ID 83647.

Quick Facts

NPI
1891247912
Type
Individual
Enumerated
Oct 25, 2016
Last Updated
Oct 25, 2016

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