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STEPHANIE LIDDLE, PT

PT

Physical Therapist

NPI: 1942489794IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

AT-077(ID)
Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT-954(ID)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 1995

Contact & Hours

Address
3125 VALENCIA DR
IDAHO FALLS, ID 83404

Quick Facts

NPI
1942489794
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
31

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