Kaylee Waters, PT, DPT | |
2640 Channing Way, Idaho Falls, ID 83404-7517 | |
(208) 552-2248 | |
Not Available |
Full Name | Kaylee Waters |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2640 Channing Way, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407504723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Manual Solutions Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659681534 PECOS PAC ID: 0244427292 Enrollment ID: O20101203000340 |
Mailing Address | Practice Location Address |
---|---|
Kaylee Waters, PT, DPT 2085 Bodily St, Idaho Falls, ID 83401-5201 Ph: () - | Kaylee Waters, PT, DPT 2640 Channing Way, Idaho Falls, ID 83404-7517 Ph: (208) 552-2248 |
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