Mr Bryan Daniel Celis, | |
36 Professional Plz Ste 110, Rexburg, ID 83440-2049 | |
(208) 359-9570 | |
Not Available |
Full Name | Mr Bryan Daniel Celis |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 36 Professional Plz Ste 110, Rexburg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598500878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Mhd Therapies Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316484983 PECOS PAC ID: 7113201831 Enrollment ID: O20170224000739 |
Mailing Address | Practice Location Address |
---|---|
Mr Bryan Daniel Celis, 565 Pioneer Rd Apt 156, Rexburg, ID 83440-4987 Ph: (208) 410-5659 | Mr Bryan Daniel Celis, 36 Professional Plz Ste 110, Rexburg, ID 83440-2049 Ph: (208) 359-9570 |
Bradley Saunders, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532 | |
Dillon Rhet Merrill, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-354-9570 | |
Mr. Tyson Tony Rothwell, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 Fax: 208-359-9580 | |
Karen Jannette Stewart, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 36 Professional Plz Ste 110, Rexburg, ID 83440 Phone: 208-359-9570 | |
Jessica Porter Cook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Mr. Bryce Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Tamarack Ave, Rexburg, ID 83440 Phone: 208-351-3608 | |
Elizabeth David Bowman, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 36 Professional Plz Ste 110, Rexburg, ID 83440 Phone: 208-359-9570 Fax: 208-359-9580 |