Mr Sky R Pruitt, PT | |
1917 N Lakewood Dr, North Idaho Physical Therapy, Coeur D Alene, ID 83814-2634 | |
(208) 664-8194 | |
(208) 667-1847 |
Full Name | Mr Sky R Pruitt |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 1917 N Lakewood Dr, Coeur D Alene, 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 |
---|---|---|---|
1164749974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2312 (Montana) | Secondary |
225100000X | Physical Therapist | PT-3182 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Physical Therapy And Sports Injuries P.a. | 9537158787 | 4 |
Provider Name | Lakeland Physical Therapy And Sports Injuries P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083896674 PECOS PAC ID: 9537158787 Enrollment ID: O20040511001525 |
Mailing Address | Practice Location Address |
---|---|
Mr Sky R Pruitt, PT 1917 N Lakewood Dr, North Idaho Physical Therapy, Coeur D Alene, ID 83814-2634 Ph: (208) 664-8194 | Mr Sky R Pruitt, PT 1917 N Lakewood Dr, North Idaho Physical Therapy, Coeur D Alene, ID 83814-2634 Ph: (208) 664-8194 |
Mark Andrew Stevens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4475 Fax: 208-966-4475 | |
Mrs. Holly D Bruns, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Dr. Sharron Elizabeth Mcmillan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Jonathan Hoelzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-772-6609 | |
Competitive Fitness & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 W Northwood Center Ct, Suite B, Coeur D Alene, ID 83814 Phone: 208-665-7055 Fax: 208-665-7093 | |
Pure Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815 Phone: 208-691-8888 | |
Debora Caires Nelson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 Fax: 208-676-8276 |