MEDICARE: STEPPIN' STONES THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1326604166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPIN' STONES THERAPY, PLLC

Provider Business Mailing Address
First Line	:	932 STARLIGHT LOOP
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5181
Country	:	US
Telephone Number	:	208-410-7725
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 2ND AVE E
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-6425
Country	:	US
Telephone Number	:	208-410-7725
Fax Number	:	877-994-3267

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD C HILL, JR.
Credential	:	PT, PCS
Telephone Number	:	208-410-7725

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	05/16/2019

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