Alexander Andersen, PT, DPT

Individual provider Active NPI Physical Therapist · Twin Falls, ID

NPI 1831765007 · NPPES record last updated May 28, 2021

Key facts

NPI
1831765007
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
7227 (ID)
Practice address
243 Cheney Dr W
Twin Falls, ID 83301-4277
Phone
(208) 329-7667
Fax
(208) 329-7669
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7227IDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7227 ID Yes

Addresses

Primary practice location

243 Cheney Dr W
Twin Falls, ID 83301-4277

Mailing address

1411 Falls Ave E Ste 401
Twin Falls, ID 83301-3455
Phone (208) 329-7667

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.