Mrs Tifani Waechtler, PT | |
43 North 100 East, Preston, ID 83263 | |
(208) 852-0116 | |
(208) 852-0116 |
Full Name | Mrs Tifani Waechtler |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 43 North 100 East, Preston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144313610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | RPT-1129 (Idaho) | Primary |
Provider Name | Preston Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831424878 PECOS PAC ID: 0345389490 Enrollment ID: O20091202000350 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tifani Waechtler, PT 3445 West 2000 North, Dayton, ID 83232 Ph: (208) 747-3418 | Mrs Tifani Waechtler, PT 43 North 100 East, Preston, ID 83263 Ph: (208) 852-0116 |
Mountain Integrated Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-604-1375 | |
Dr. Leo E Robertson Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 S State St, Preston, ID 83263 Phone: 208-852-4122 Fax: 208-852-7187 | |
Mr. Douglas Winward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 North 100 East, Preston, ID 83263 Phone: 208-852-0116 Fax: 208-852-0116 | |
Preston Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 S 100 W Ste A, Preston, ID 83263 Phone: 208-852-1143 Fax: 208-852-3951 |