Casondra Dawn Pahis, DPT | |
620 S Woodruff Ave, Idaho Falls, ID 83401-5299 | |
(208) 419-3408 | |
Not Available |
Full Name | Casondra Dawn Pahis |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 620 S Woodruff Ave, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306226337 | NPI | - | NPPES |
PT-4045 | Other | ID | IDAHO STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-4045 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Snake River Physical Therapy Specialists Llc | 2365871472 | 2 |
Provider Name | Snake River Physical Therapy Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174156814 PECOS PAC ID: 2365871472 Enrollment ID: O20200409003586 |
Mailing Address | Practice Location Address |
---|---|
Casondra Dawn Pahis, DPT 620 S Woodruff Ave, Idaho Falls, ID 83401-5299 Ph: (208) 419-3408 | Casondra Dawn Pahis, DPT 620 S Woodruff Ave, Idaho Falls, ID 83401-5299 Ph: (208) 419-3408 |
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