Mrs Brooke Christine Conrad, PT, DPT | |
319 E Deinhard Ln, Mccall, ID 83638-4703 | |
(208) 634-8517 | |
(208) 292-2817 |
Full Name | Mrs Brooke Christine Conrad |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 319 E Deinhard Ln, Mccall, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083306526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-8506 (Idaho) | Primary |
Provider Name | Pro-active Physical Therapy Of Mccall, Pa |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295847242 PECOS PAC ID: 7719986827 Enrollment ID: O20100618000370 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brooke Christine Conrad, PT, DPT Po Box 2041, Mccall, ID 83638-2041 Ph: (208) 634-8517 | Mrs Brooke Christine Conrad, PT, DPT 319 E Deinhard Ln, Mccall, ID 83638-4703 Ph: (208) 634-8517 |
Heidi Jo Wyman, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 S 3rd St, Mccall, ID 83638 Phone: 208-634-8517 | |
Ms. Ingrid A Burica, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 E Park St, Mccall, ID 83638 Phone: 208-634-3555 | |
Pro-active Physical Therapy Of Mccall, Pa Physical Therapist Medicare: Medicare Enrolled Practice Location: 319 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-292-2817 | |
Summer Dawn Skee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 | |
Donald J Sanda, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 State St., Mccall, ID 83638 Phone: 208-634-5909 Fax: 208-634-5956 | |
David Ryan York, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411a Deinhard Ln, Mccall, ID 83638 Phone: 208-634-8517 Fax: 208-634-5763 |