| Chandra T Farnham, PT | |
|
335 E Lewis St Ste 10, Pocatello, ID 83201-6408 | |
| (208) 269-2360 | |
| (208) 550-3256 |
| Full Name | Chandra T Farnham |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 335 E Lewis St Ste 10, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710671862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-8317 (Idaho) | Primary |
| Provider Name | Streamline Sports Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073038378 PECOS PAC ID: 7810262219 Enrollment ID: O20171011002488 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandra T Farnham, PT 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 Ph: (208) 269-2360 | Chandra T Farnham, PT 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 Ph: (208) 269-2360 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |