| Hannah's Place Llc | |
|
240 W Burnside Ave Ste D, Chubbuck, ID 83202 | |
| (208) 904-1112 | |
| (866) 818-2688 |
| Full Name | Hannah's Place Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 240 W Burnside Ave Ste D, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245653468 | NPI | - | NPPES |
| Provider Name | Karissa D Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740436302 PECOS PAC ID: 0446391171 Enrollment ID: I20100104000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah's Place Llc 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Ph: (208) 904-1112 | Hannah's Place Llc 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Ph: (208) 904-1112 |
Derrick Northrup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Taylor Ln, Chubbuck, ID 83202 Phone: 208-221-6952 Fax: 844-946-0909 | |
Sophia M Garrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202 Phone: 208-417-0011 Fax: 888-437-2431 | |
Flicker Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 Fax: 208-904-2990 | |
Dr. Timothy Andrew Flicker, MPT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 | |
Custom Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-244-1882 | |
Sarah Ingalls, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 Burley Dr, Chubbuck, ID 83202 Phone: 208-637-1100 |