Liddle, Stephanie
Liddle, Stephanie is an sole proprietor health care provider with primary practice located at 3125 Valencia Dr , Idaho Falls ID 83404-7575. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Liddle, Stephanie can be contacted via phone (208) 529-3332.Contact Information
Primary practice address
3125 Valencia Dr
Idaho Falls ID 83404-7575
Phone: (208) 529-3332
Fax: (208) 529-3336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-077 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-954 | Idaho |
Profile Details
| NPI number | 1942489794 |
|---|---|
| LBN Legal business name | Liddle, Stephanie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Mar 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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