| Michael Victor Nowack, DPT | |
|
6186 W Maine, Spirit Lake, ID 83869 | |
| (208) 623-6717 | |
| Not Available |
| Full Name | Michael Victor Nowack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6186 W Maine, Spirit Lake, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407940497 | NPI | - | NPPES |
| 8446924 | Medicaid | WA | |
| 0201431 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00009579 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Victor Nowack, DPT Po Box 3482, Post Falls, ID 83877-3482 Ph: (208) 209-6170 | Michael Victor Nowack, DPT 6186 W Maine, Spirit Lake, ID 83869 Ph: (208) 623-6717 |
Adam Wheeler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31911 N 5th St, Spirit Lake, ID 83869 Phone: 208-623-6717 | |
Alpine Physical Therapy Center, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 31911 N 5th Ave, Spirit Lake, ID 83869 Phone: 208-623-6717 Fax: 208-623-4898 | |
Jacquelyn Rose Mallet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6186 W Maine St, Spirit Lake, ID 83869 Phone: 208-449-1596 |