| Totius Therapies Inc | |
|
211 E Logan St Ste 201 Caldwell ID 83605-4883 | |
| (208) 454-1480 | |
| (208) 268-8444 |
| Full Name | Totius Therapies Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 E Logan St Ste 201, Caldwell, Idaho |
| Authorized Official Name and Position | David Routt (PRESIDENT) |
| Authorized Official Contact | 2084541480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Totius Therapies Inc 211 E Logan St Ste 201 Caldwell ID 83605-4883 Ph: (208) 454-1480 | Totius Therapies Inc 211 E Logan St Ste 201 Caldwell ID 83605-4883 Ph: (208) 454-1480 |
| NPI Number | 1083126023 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 3971963299 |
|---|---|
| Medicare Enrollment ID | O20230719000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083126023 | NPI | - | NPPES |
| Provider Name | Elizabeth E Mcdougall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932357787 PECOS PAC ID: 3375605983 Enrollment ID: I20081216000280 |
| Provider Name | Mary Kay Gordon-brunner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003593914 PECOS PAC ID: 3577924307 Enrollment ID: I20230726002910 |
| Provider Name | David Glenn Routt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174973374 PECOS PAC ID: 5799145017 Enrollment ID: I20240115001079 |
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