Trista Billingsley, PTA

Individual provider Active NPI Physical Therapy Assistant · Kuna, ID

NPI 1376356899 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1376356899
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
6671145 (ID)
Practice address
943 N Linder Rd
Kuna, ID 83634-3394
Phone
(559) 999-7067
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6671145IDMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6671145 ID Yes

Addresses

Primary practice location

943 N Linder Rd
Kuna, ID 83634-3394

Mailing address

1016 E Esquel St
Kuna, ID 83634-4891
Phone (559) 999-7067

Other providers in Kuna, ID

All providers in Kuna, ID · Physical Therapy Assistant in Idaho

Sources for this page

Verify at the official NPI Registry.