Search › Idaho › 225100000X
Alex Godderidge, DPT
NPI 1942951736 · on the registry since 2022
Practice
- Address
- 12072 W Mcmillan Rd
Boise, ID 83713 - Phone
- (208) 939-0533
- Fax
- (208) 939-3341
- Clinicians at this address
- 12
Additional practice sites
- 2175 N Whitley Dr, Fruitland, ID
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho