Anthony Baden Powell
Physical Therapy Assistant
527 Memorial Dr
Pocatello
, Idaho 83201-4063
Anthony Baden Powell
Physical Therapy Assistant
527 Memorial Dr
Pocatello
, Idaho 83201-4063
(208) 419-8384
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Anthony Baden Powell
- 256 S Johnson Ave
- Pocatello, ID
- Zip : 83204-4228
- Phone : (208) 419-8384
Second Address
- Anthony Baden Powell
- 527 Memorial Dr
- Pocatello, ID
- Zip : 83201-4063
- Phone : (208) 478-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA3510 | ID |
National Provider Identifier
| NPI | 1003471665 |
|---|---|
| Provider Name | Anthony Baden Powell |
| First Address | Pocatello, ID 83204-4228 |
| Second Address | Pocatello, ID 83201-4063 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.