Castellaw, Cody Lane

Castellaw, Cody Lane is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Castellaw, Cody Lane can be contacted via phone (208) 359-9570.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 359-9570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-3504 Idaho

Profile Details

NPI number 1154728426
LBN Legal business name Castellaw, Cody Lane
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2014
Last updated Dec 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers