Mr Sean R Weatherston, PT | |
211 E Logan St, Suite 101, Caldwell, ID 83605-4835 | |
(208) 454-9839 | |
(208) 454-0727 |
Full Name | Mr Sean R Weatherston |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 211 E Logan St, Caldwell, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073596136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1523 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altitude Physical Therapy Inc | 0244267029 | 9 |
Provider Name | Altitude Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619045309 PECOS PAC ID: 0244267029 Enrollment ID: O20050722000897 |
Mailing Address | Practice Location Address |
---|---|
Mr Sean R Weatherston, PT 2101 W Grouse St, Nampa, ID 83651-8353 Ph: (208) 465-8087 | Mr Sean R Weatherston, PT 211 E Logan St, Suite 101, Caldwell, ID 83605-4835 Ph: (208) 454-9839 |
Dr. Brian W Lee, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-454-0505 Fax: 208-454-0559 | |
Mr. Mark W Wisenor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3720 S Indiana Ave, Caldwell, ID 83605 Phone: 208-459-6041 Fax: 208-459-0346 | |
Travis William Palmer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Logan St, Suite 101, Caldwell, ID 83605 Phone: 208-454-9839 Fax: 208-454-0727 | |
Breann Faye Fox, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Pine St, Caldwell, ID 83605 Phone: 208-454-5142 Fax: 208-454-5148 | |
Sandra S Schnell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-454-0505 Fax: 208-454-0559 | |
Mr. Brian Richard Trudeau, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Logan St, Suite 101, Caldwell, ID 83605 Phone: 208-454-9839 |