Joseph Collett, | |
1510 Elk Creek Dr, Idaho Falls, ID 83404-8322 | |
(208) 522-7627 | |
Not Available |
Full Name | Joseph Collett |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1510 Elk Creek Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578139887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-7271 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eagle Rock Physical Therapy Pllc | 0941397343 | 3 |
Provider Name | Eagle Rock Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174712418 PECOS PAC ID: 0941397343 Enrollment ID: O20071101000339 |
Mailing Address | Practice Location Address |
---|---|
Joseph Collett, 1510 Elk Creek Dr, Idaho Falls, ID 83404-8322 Ph: (208) 522-7627 | Joseph Collett, 1510 Elk Creek Dr, Idaho Falls, ID 83404-8322 Ph: (208) 522-7627 |
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