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RANDY SIDWELL, PT, MS, ATC
PT, MS, ATC
Physical Therapist
NPI: 1962547257IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT-1535(ID)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 1996
Contact & Hours
- Address
- 333 N 18TH AVE STE D2
POCATELLO, ID 83201 - Phone
- (208) 232-6490
Quick Facts
- NPI
- 1962547257
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 30
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