| Nicole Larson, PT | |
|
90 Hope Dr, Mountain Home Afb, ID 83648-1057 | |
| (480) 829-0217 | |
| Not Available |
| Full Name | Nicole Larson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 90 Hope Dr, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376021675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 012972 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Larson, PT 90 Hope Dr, Mountain Home Afb, ID 83648-1057 Ph: (208) 828-3057 | Nicole Larson, PT 90 Hope Dr, Mountain Home Afb, ID 83648-1057 Ph: (480) 829-0217 |
Mr. John M. Wade, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-2175 | |
Dr. Chad Luckett Crossley, PT, DPT, MS, OCS, AT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 412-432-3700 | |
Teagan Ferguson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-4626 | |
Dr. Jeff David Walker, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-4626 | |
Joseph Richard Perry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7900 |