| Boulder Mountain Physical Therapy | |
|
507 S Main St, Hailey, ID 83333-8428 | |
| (208) 788-0061 | |
| Not Available |
| Full Name | Boulder Mountain Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 507 S Main St, Hailey, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659586600 | NPI | - | NPPES |
| 000010136534 | Other | ID | BLUE SHIELD |
| T9685 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT- 647 (Idaho) | Primary |
| Provider Name | Mark E Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013137850 PECOS PAC ID: 6103721386 Enrollment ID: I20031211000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Mountain Physical Therapy Po Box 1191, Hailey, ID 83333-1191 Ph: (208) 788-0061 | Boulder Mountain Physical Therapy 507 S Main St, Hailey, ID 83333-8428 Ph: (208) 788-0061 |
Mark Morgan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 S River St, Hailey, ID 83333 Phone: 208-788-0061 Fax: 208-788-2211 | |
Aspire Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 E Bullion St, Suite C, Hailey, ID 83333 Phone: 208-720-3421 Fax: 208-297-2680 | |
Jennifer M Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 E Maple St, Suite D, Hailey, ID 83333 Phone: 208-481-0275 | |
Hailey Sport And Spine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 S Main St, Ste 7a, Hailey, ID 83333 Phone: 208-788-6312 Fax: 208-578-1053 | |
Mrs. Gloria Gould Gunter, MPT, MED, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 E Bullion St, Suite C, Hailey, ID 83333 Phone: 208-720-3421 Fax: 208-297-2680 | |
Derek Anton Schildknecht, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1014 Business Park Dr Ste A, Hailey, ID 83333 Phone: 208-788-6312 Fax: 208-578-1053 | |
Mary A Hogan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 E Maple St, Suite D, Hailey, ID 83333 Phone: 208-481-0275 |