Healthcare Provider Details
I. General information
NPI: 1326604166
Provider Name (Legal Business Name): STEPPIN STONES THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1537 ADDISON AVE E
TWIN FALLS ID
83301-5342
US
IV. Provider business mailing address
932 STARLIGHT LOOP 932 STARLIGHT LOOP
TWIN FALLS ID
83301-5181
US
V. Phone/Fax
- Phone: 208-410-7725
- Fax: 877-994-3267
- Phone: 208-410-7725
- Fax: 877-994-3267
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
C
HILL,
JR.
Title or Position: PRESIDENT
Credential: PT, PCS
Phone: 208-410-7725