Jennifer Malloy, PT | |
1401 Lincoln Way, Coeur D Alene, ID 83814-2334 | |
(208) 676-1424 | |
Not Available |
Full Name | Jennifer Malloy |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1401 Lincoln Way, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144274598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1627 (Idaho) | Primary |
Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Malloy, PT 2400 Nw Myhre Rd, Ste 101, Silverdale, WA 98383 Ph: (360) 598-3764 | Jennifer Malloy, PT 1401 Lincoln Way, Coeur D Alene, ID 83814-2334 Ph: (208) 676-1424 |
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 |