Freedom Physical Therapy, Llc | |
203 12th Ave Rd Ste B, Nampa, ID 83686-5012 | |
(208) 936-8092 | |
Not Available |
Full Name | Freedom Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 203 12th Ave Rd Ste B, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518649235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Tyson Daniel Cook |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033583117 PECOS PAC ID: 1759775703 Enrollment ID: I20220308001886 |
Mailing Address | Practice Location Address |
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Freedom Physical Therapy, Llc 203 12th Ave Rd Ste B, Nampa, ID 83686-5012 Ph: (208) 936-8092 | Freedom Physical Therapy, Llc 203 12th Ave Rd Ste B, Nampa, ID 83686-5012 Ph: (208) 936-8092 |
Nathan Ira Allen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651 Phone: 208-442-0577 Fax: 208-442-7455 | |
Peter James Rowley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 337 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-7889 Fax: 208-467-7800 | |
Carmen M Schmidt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-489-5950 | |
Mr. James Richard Teater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-5059 | |
Derek Matthew Wood, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 | |
Tyler Powell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16816 N Marketplace Blvd, Nampa, ID 83687 Phone: 208-461-9593 Fax: 208-369-9272 | |
Verl Dean Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14873 Hensen Dr, Nampa, ID 83651 Phone: 208-475-1986 |