Curtis Leslie Jacobson, PT | |
3784 Summit Run Trl, Idaho Falls, ID 83404-8248 | |
(208) 731-9896 | |
Not Available |
Full Name | Curtis Leslie Jacobson |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 3784 Summit Run Trl, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295327096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT-1675 (Idaho) | Primary |
Entity Name | Brio Practice Management Idaho Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730639642 PECOS PAC ID: 9739462805 Enrollment ID: O20170215002025 |
Mailing Address | Practice Location Address |
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Curtis Leslie Jacobson, PT 3784 Summit Run Trl, Idaho Falls, ID 83404-8248 Ph: (208) 731-9896 | Curtis Leslie Jacobson, PT 3784 Summit Run Trl, Idaho Falls, ID 83404-8248 Ph: (208) 731-9896 |
Mrs. Tiffany Heather Maxwell, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2037 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-3355 Fax: 208-529-9581 | |
Dr. Andrew D Cooper, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2635 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Abby Lucile Jensen, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Troy Jay Bushman, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 | |
Dr. Sarah Vlach, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2860 Channing Way, Suite 112, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Tyler Hedin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 |