| Dr Leo E Robertson Iii, PT | |
|
134 S State St, Preston, ID 83263 | |
| (208) 852-4122 | |
| (208) 852-7187 |
| Full Name | Dr Leo E Robertson Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 134 S State St, Preston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346465887 | NPI | - | NPPES |
| 1346465887 | Medicaid | ID | |
| D5960 | Medicaid | UT | |
| PT-2026 | Other | ID | PHYSICAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2026 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leo E Robertson Iii, PT 44 N 1st E, Preston, ID 83263-1326 Ph: (208) 852-4122 | Dr Leo E Robertson Iii, PT 134 S State St, Preston, ID 83263 Ph: (208) 852-4122 |
Mountain Integrated Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-604-1375 | |
Mrs. Tifani Waechtler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 43 North 100 East, Preston, ID 83263 Phone: 208-852-0116 Fax: 208-852-0116 | |
Mr. Douglas Winward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 North 100 East, Preston, ID 83263 Phone: 208-852-0116 Fax: 208-852-0116 | |
Preston Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 S 100 W Ste A, Preston, ID 83263 Phone: 208-852-1143 Fax: 208-852-3951 |