Shelley Physical Therapy & Fitness Center | |
186 W Pine St, Shelley, ID 83274-1235 | |
(208) 680-4787 | |
Not Available |
Full Name | Shelley Physical Therapy & Fitness Center |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 186 W Pine St, Shelley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063126209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Joel Cruz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003382276 PECOS PAC ID: 0648673897 Enrollment ID: I20210726001401 |
Mailing Address | Practice Location Address |
---|---|
Shelley Physical Therapy & Fitness Center 400 Grant St, Blackfoot, ID 83221-2119 Ph: (208) 680-4787 | Shelley Physical Therapy & Fitness Center 186 W Pine St, Shelley, ID 83274-1235 Ph: (208) 680-4787 |
Matthew John Ricci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Joshua Darwin Bischoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Deidra Nichols, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Chrystal Dawn Browning, PT, DPT, PCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 5, Shelley, ID 83274 Phone: 208-221-4677 Fax: 208-209-6079 | |
William Arnell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 1, Shelley, ID 83274 Phone: 208-782-4744 | |
Amanda Mae Caward, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Wright Physical Therapy Limited Partnership, 299 Anderson Road, Shelley, ID 83274 Phone: 208-782-4744 |