Misty Dawn Aguilar, DPT
Individual provider Active NPI Physical Therapist · Pocatello, ID
NPI 1447447602 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1447447602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2270 (ID)
- Practice address
- 1800 Garrett Way Ste 19a
Pocatello, ID 83201-5132 - Phone
- (208) 233-1064
- Fax
- (208) 233-0219
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2270 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Creek Rehab, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2270 | ID | Yes |
Addresses
Primary practice location
1800 Garrett Way Ste 19a
Pocatello, ID 83201-5132
Mailing address
1800 Garrett Way Ste 19a
Pocatello, ID 83201-5132
Phone (208) 233-1064
Other providers in Pocatello, ID
- Advanced Mobility
- Advanced Performance Physical Therapy PLLC
- Beth Agres
- Trevor Aguiar
- Anita Aguilar
- Donelle Airmet
- Elizabeth Aitken
- Douglas B. Akers
- Stephani Aki
- Shawn Akina
All providers in Pocatello, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.