| Payette River Physical Therapy | |
|
400 Highway 55 Ste A, Suite B, Horseshoe Bend, ID 83629-9016 | |
| (208) 793-3333 | |
| (208) 793-6333 |
| Full Name | Payette River Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 Highway 55 Ste A, Horseshoe Bend, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730219361 | NPI | - | NPPES |
| 000010007267 | Other | ID | BLUE SHIELD OF IDAHO GROU |
| 002636700 | Medicaid | ID | |
| 185456700 | Other | ID | US DEPT OF LABOR |
| 124160 | Other | ID | WASH. STATE DEPT OF LABOR |
| 8B305 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Payette River Physical Therapy Po Box 205, Horseshoe Bend, ID 83629-0205 Ph: (208) 793-3333 | Payette River Physical Therapy 400 Highway 55 Ste A, Suite B, Horseshoe Bend, ID 83629-9016 Ph: (208) 793-3333 |
Mrs. Gayle Bonzer-fry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Highway 55, Suite A, Horseshoe Bend, ID 83629 Phone: 208-793-3333 Fax: 208-793-6333 | |
Julie Ann Forrest, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Spring Creek Dr, Horseshoe Bend, ID 83629 Phone: 860-428-7688 |