Dr. BRANSON LEE FONNESBECK PT, DPT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1487586954- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT, DPT
- Status
- Active
Contact & Location
- Address
- 265 E CHUBBUCK RD STE A, CHUBBUCK, ID, 832025055
- Phone
- (208) 417-0011
- Fax
- (888) 437-2431
Specialties & Taxonomies
Physical Therapist
Primary License: ID