Randy C Sidwell in Pocatello - Physical Therapist
Randy C Sidwell - NPI 1962547257
Randy C Sidwell is a Physical Therapist in Pocatello, Idaho. Randy C Sidwell practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Randy C Sidwell is 1962547257. The last update date is 2012-03-15.
Randy C Sidwell's current location address is 333 N 18th Ave Ste D2, Pocatello, Idaho. You can contact this provider via phone number 2082326490 and fax number 2082344805. The mailing address for Randy C Sidwell is 333 N 18th Ave Ste D2, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy C Sidwell |
|---|---|
| Address | 333 N 18th Ave Ste D2, Pocatello, Idaho |
| Phone Number | 2082326490 |
| Fax Number | 2082344805 |
| Sole Proprietor | N |
| Credentials | PT, MS, AT |
NPI Number Detail
| NPI Number | 1962547257 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 333 N 18th Ave Ste D2 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832013358 |
| Phone Number | 2082326490 |
| Fax Number | 2082344805 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT-1535 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805846600 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy C Sidwell by the Centers for Medicare & Medicaid Services?
The Randy C Sidwell has been issued the NPI (National Provider Identifier) 1962547257, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randy C Sidwell located?
The Randy C Sidwell is located at 333 N 18Th Ave Ste D2, Pocatello, ID 832013358.
What is the area of specialization for Randy C Sidwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randy C Sidwell is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Randy C Sidwell receive its 1962547257 assignment from the Centers for Medicare & Medicaid Services?
The Randy C Sidwell was assigned its 1962547257 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details related to Randy C Sidwell most recently updated or revised?
The information pertaining to Randy C Sidwell, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-15.