Reagan E. Fernley, PTA
Physical Medicine & Rehabilitation · Homedale, ID
UnclaimedPTANPI 1881459543
- Primary taxonomy
- 2081S0010X
- Enumerated
- 2024-02-20
- Practice location
- Homedale, ID
- Last NPPES update
- 2024-02-20
State licenses
- ID · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.