Healthcare Provider Details

I. General information

NPI: 1891605622
Provider Name (Legal Business Name): CRAIG PHILIP HESSING DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 W 5TH ST
WEISER ID
83672-1542
US

IV. Provider business mailing address

1480 W 5TH ST
WEISER ID
83672-1542
US

V. Phone/Fax

Practice location:
  • Phone: 208-724-3770
  • Fax:
Mailing address:
  • Phone: 208-724-3770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-5805
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: