Kemp Rosqvist, | |
1501 Hiland Ave, Attn: Physical Therapy, Burley, ID 83318-2688 | |
(208) 677-6530 | |
Not Available |
Full Name | Kemp Rosqvist |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1501 Hiland Ave, Burley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477932564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-4076 (Idaho) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Kemp Rosqvist, 1501 Hiland Ave, Attn: Physical Therapy, Burley, ID 83318-2688 Ph: (208) 677-6530 | Kemp Rosqvist, 1501 Hiland Ave, Attn: Physical Therapy, Burley, ID 83318-2688 Ph: (208) 677-6530 |
Dr. Tyler Carlen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6530 | |
Nicholas Lewis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 Fax: 208-647-0239 | |
Austin Stoddard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1263 Bennett Ave Ste 2, Burley, ID 83318 Phone: 208-678-1191 | |
Mr. Jeffrey Dwain Manion, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Sandy Glen Ln, Burley, ID 83318 Phone: 402-290-4584 | |
Ryan Patrick Mccormick, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 Fax: 208-647-0239 | |
Troy Michael Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6530 | |
Antonino Roberto Russo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 |