NPI age
20 years
Enumerated 2005-10-08
● Active Type 2 · Organization
Hailey Sport And Spine Physical Therapy PA
Hailey Sport And Spine Physical Therapy PA is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mazik
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
20 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
810 S Main St, Ste 7a
Hailey, ID 833338426
Mailing address
Po Box 1693, 810 S Main St Ste 7a
Hailey, ID 833331693
Authorized official
Kimberly A Mazik, PT
Owner
📞 2087886312
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
HAILEY SPORT AND SPINE
Practice context
Single-site organization. Only one practice location on file.
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