NPI: 1538763370 · IDAHO FALLS, ID 83402 · Sports Physical Therapist · NPI assigned 11/23/2020
| Authorized Official | STODDARD, JORDAN (OWNER) |
| NPI Enumeration Date | 11/23/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 48 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 48 | 12 | $3K |