| Lakeland Physical Therapy And Sports Injuries P.a. | |
|
16768 N Highway 41, Rathdrum, ID 83858-8715 | |
| (208) 687-9195 | |
| Not Available |
| Full Name | Lakeland Physical Therapy And Sports Injuries P.a. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 16768 N Highway 41, Rathdrum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083896674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Idaho) | Primary |
| Provider Name | Sky R Pruitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164749974 PECOS PAC ID: 2264562354 Enrollment ID: I20130412000459 |
| Provider Name | Gregory A Roman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508372855 PECOS PAC ID: 5193088375 Enrollment ID: I20180423001089 |
| Provider Name | Jason Michael Valois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144844697 PECOS PAC ID: 6103248331 Enrollment ID: I20200617000859 |
| Provider Name | Donald D Sharp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396459996 PECOS PAC ID: 5294108205 Enrollment ID: I20230929003390 |
| Provider Name | Luke T Mallory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417712589 PECOS PAC ID: 4486099256 Enrollment ID: I20240302000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Physical Therapy And Sports Injuries P.a. 16768 N Highway 41, Rathdrum, ID 83858-8715 Ph: () - | Lakeland Physical Therapy And Sports Injuries P.a. 16768 N Highway 41, Rathdrum, ID 83858-8715 Ph: (208) 687-9195 |
Keagan Scott Shillington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14775 N Kimo Ct Ste A, Rathdrum, ID 83858 Phone: 208-687-9240 Fax: 208-687-9241 | |
Jason Michael Valois, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16768 N Highway 41, Rathdrum, ID 83858 Phone: 208-687-9195 Fax: 208-687-9750 | |
Rathdrum Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14775 N Kimo Ct, Ste A, Rathdrum, ID 83858 Phone: 208-687-9240 Fax: 208-687-9241 | |
Craig Cahan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14962 N Wright St, Rathdrum, ID 83858 Phone: 208-755-2458 Fax: 866-439-2298 | |
On The Go Pediatric Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14962 N Wright St, Rathdrum, ID 83858 Phone: 208-540-1990 | |
Christine Danser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14775 N Kimo Ct, Ste A, Rathdrum, ID 83858 Phone: 208-687-9240 Fax: 208-687-9241 |