| Mountain Integrated Therapy Pllc | |
|
8 S State St, Preston, ID 83263-1243 | |
| (208) 604-1375 | |
| Not Available |
| Full Name | Mountain Integrated Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8 S State St, Preston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003187063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-480 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Integrated Therapy Pllc 8 S State St, Preston, ID 83263-1243 Ph: () - | Mountain Integrated Therapy Pllc 8 S State St, Preston, ID 83263-1243 Ph: (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 | |
Dr. Leo E Robertson Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 S State St, Preston, ID 83263 Phone: 208-852-4122 Fax: 208-852-7187 | |
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 |