Mr Matthew Lyle Walker, MPT | |
2321 E Gala St, Suite 1, Meridian, ID 83642-4881 | |
(208) 888-4321 | |
(208) 895-8747 |
Full Name | Mr Matthew Lyle Walker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2321 E Gala St, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003831249 | NPI | - | NPPES |
000010148919 | Other | ID | REGENCE |
TA914 | Other | ID | BLUE CROSS OF IDAHO PROV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1718 (Idaho) | Primary |
Provider Name | Key Stone Health Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932520640 PECOS PAC ID: 0648402784 Enrollment ID: O20140403002234 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Lyle Walker, MPT 2321 E Gala St, Suite 1, Meridian, ID 83642-4881 Ph: (208) 888-4321 | Mr Matthew Lyle Walker, MPT 2321 E Gala St, Suite 1, Meridian, ID 83642-4881 Ph: (208) 888-4321 |
Dr. Kennedy Poplawski Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Ustick Rd Ste 150, Meridian, ID 83646 Phone: 208-895-0715 Fax: 208-895-0746 | |
Robin Mcgaw Hughes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-4757 Fax: 208-706-5538 | |
Jennifer Ellen Eikanger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 110, Meridian, ID 83642 Phone: 208-960-0930 Fax: 208-960-0935 | |
Touchmark At Meadow Lake Village Outpatient Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4037 E Clocktower Ln, Meridian, ID 83642 Phone: 208-888-2277 Fax: 208-888-9159 | |
Abigail Jorgensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-706-5000 | |
Kai Lamont Turner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2204 E Lanark St Ste 100, Meridian, ID 83642 Phone: 208-908-7908 Fax: 208-908-7935 |