Healthcare Provider Details

I. General information

NPI: 1841545696
Provider Name (Legal Business Name): CALEB J LOUVIER DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 S JADE WAY STE 110
MERIDIAN ID
83642-5898
US

IV. Provider business mailing address

1411 FALLS AVE E STE 401
TWIN FALLS ID
83301-3455
US

V. Phone/Fax

Practice location:
  • Phone: 207-207-5454
  • Fax: 208-600-6064
Mailing address:
  • Phone: 207-207-5454
  • Fax: 208-600-6064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60286845
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-7533
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: