| Mr Dale C Wheelwright, RPT | |
|
7 N 600 W, Blackfoot, ID 83221-5533 | |
| (208) 782-2267 | |
| (208) 684-9812 |
| Full Name | Mr Dale C Wheelwright |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7 N 600 W, Blackfoot, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356304737 | NPI | - | NPPES |
| 000010140771 | Other | ID | NDPT REGENCE BS OF ID |
| T6947 | Other | ID | NDPT BLUE CROSS OF ID |
| 5586533 | Other | ID | NDPT CCN |
| 806464000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT-1406 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dale C Wheelwright, RPT 7 N 600 W, Blackfoot, ID 83221-5533 Ph: (208) 782-2267 | Mr Dale C Wheelwright, RPT 7 N 600 W, Blackfoot, ID 83221-5533 Ph: (208) 782-2267 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221 | |
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |