Dr Davis Madsen Borg, DPT | |
134 E Idaho Ave, Homedale, ID 83628-5003 | |
(208) 337-3254 | |
Not Available |
Full Name | Dr Davis Madsen Borg |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 134 E Idaho Ave, Homedale, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699471581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Rehabauthority Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20040401001711 |
Mailing Address | Practice Location Address |
---|---|
Dr Davis Madsen Borg, DPT 5062 N Papago Ave, Boise, ID 83713-2059 Ph: (208) 912-3531 | Dr Davis Madsen Borg, DPT 134 E Idaho Ave, Homedale, ID 83628-5003 Ph: (208) 337-3254 |
Brett J Homstad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
James M Muir, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Hilary O'bannon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Jesse Tyler Cook, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Kerby Andersen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 |