Dimond, Trevor Brice

Dimond, Trevor Brice is an individual health care provider with primary practice located at 526 First American Cir , Rexburg ID 83440-5400. 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. Dimond, Trevor Brice can be contacted via phone (208) 534-7001.

Contact Information

Primary practice address
526 First American Cir Rexburg ID 83440-5400
Phone: (208) 534-7001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-3826 Idaho

Profile Details

NPI number 1396136743
LBN Legal business name Dimond, Trevor Brice
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2015
Last updated Feb 22nd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396136743 NPPES
Idaho Other PT-3826 LICENSE

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