| Mr Michael E Otto, RPT | |
|
1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 | |
| (208) 237-2080 | |
| (208) 237-1084 |
| Full Name | Mr Michael E Otto |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1951 Bench Rd, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558324590 | NPI | - | NPPES |
| 002682600 | Medicaid | ID | |
| 000010020633 | Other | ID | GCPT REGENCE OF ID |
| T1385 | Other | ID | GCPT BLUE CROSS OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT186 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael E Otto, RPT 1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 Ph: (208) 237-2080 | Mr Michael E Otto, RPT 1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 Ph: (208) 237-2080 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |