Patricia Marie Fagen, PT | |
2175 N Whitley Dr, Fruitland, ID 83619-2132 | |
(208) 452-0303 | |
Not Available |
Full Name | Patricia Marie Fagen |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2175 N Whitley Dr, Fruitland, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710584818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1068 (Idaho) | Primary |
Provider Name | Current Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518478734 PECOS PAC ID: 6507124823 Enrollment ID: O20171214001869 |
Mailing Address | Practice Location Address |
---|---|
Patricia Marie Fagen, PT 7625 N Nevada Ave, Fruitland, ID 83619-3559 Ph: (208) 739-0463 | Patricia Marie Fagen, PT 2175 N Whitley Dr, Fruitland, ID 83619-2132 Ph: (208) 452-0303 |
Therapy Connection Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 N Whitley Dr, Unit 1a, Fruitland, ID 83619 Phone: 208-452-0021 Fax: 208-452-0019 | |
Sierra Marie Riley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Nw 16th St # 200, Fruitland, ID 83619 Phone: 208-452-8060 | |
Sol Physiotherapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 N Whitley Dr, Fruitland, ID 83619 Phone: 208-953-7057 | |
Good Life Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 N Whitley Dr, Fruitland, ID 83619 Phone: 208-740-3549 | |
Columbus Candies, PT MPA/HA PH.D. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 N Whitley Dr Ste 1a, Fruitland, ID 83619 Phone: 208-452-0021 Fax: 208-452-0019 | |
Mckenzie Karl, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2175 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-7197 | |
Lynn R Johnson, PT; LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 N Whitley Dr Ste 1a, Fruitland, ID 83619 Phone: 208-452-0021 Fax: 208-452-0019 |