Provider Demographics
NPI:1427512144
Name:TORBERT, ALEXA E (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:E
Last Name:TORBERT
Suffix:
Gender:
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2454
Mailing Address - Country:US
Mailing Address - Phone:406-839-7901
Mailing Address - Fax:
Practice Address - Street 1:315 FALLS AVE
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3367
Practice Address - Country:US
Practice Address - Phone:406-839-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-27
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDAT-8222255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer