Hayden Lake Physical Therapy And Aquatics | |
1450 Northwest Blvd Ste 106, Coeur D Alene, ID 83814-5605 | |
(208) 667-6264 | |
(208) 664-4313 |
Full Name | Hayden Lake Physical Therapy And Aquatics |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1450 Northwest Blvd Ste 106, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801812482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Diana Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720199631 PECOS PAC ID: 3476517509 Enrollment ID: I20041117000955 |
Provider Name | Brenda K Jerald |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679853501 PECOS PAC ID: 6800067273 Enrollment ID: I20110914000625 |
Provider Name | Dirk A Baird |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225149123 PECOS PAC ID: 7517941495 Enrollment ID: I20111104000127 |
Provider Name | Baily C Donovan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568809820 PECOS PAC ID: 8729227111 Enrollment ID: I20130614000467 |
Provider Name | Stefanie J Cove |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477920338 PECOS PAC ID: 0143524868 Enrollment ID: I20161102002727 |
Provider Name | James W Behrens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215427893 PECOS PAC ID: 7416202320 Enrollment ID: I20180618002619 |
Provider Name | Collin D Zimmerman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326523861 PECOS PAC ID: 2264776178 Enrollment ID: I20181204002059 |
Provider Name | Jamie C Sutlick |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316648215 PECOS PAC ID: 4688039167 Enrollment ID: I20230505001733 |
Provider Name | Angela Rummell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982242210 PECOS PAC ID: 9830520428 Enrollment ID: I20240531003007 |
Mailing Address | Practice Location Address |
---|---|
Hayden Lake Physical Therapy And Aquatics 1450 Northwest Blvd Ste 106, Coeur D Alene, ID 83814-5605 Ph: (208) 667-6264 | Hayden Lake Physical Therapy And Aquatics 1450 Northwest Blvd Ste 106, Coeur D Alene, ID 83814-5605 Ph: (208) 667-6264 |
Mark Andrew Stevens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4475 Fax: 208-966-4475 | |
Mrs. Holly D Bruns, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Dr. Sharron Elizabeth Mcmillan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Jonathan Hoelzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-772-6609 | |
Competitive Fitness & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 W Northwood Center Ct, Suite B, Coeur D Alene, ID 83814 Phone: 208-665-7055 Fax: 208-665-7093 | |
Pure Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815 Phone: 208-691-8888 | |
Debora Caires Nelson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 Fax: 208-676-8276 |