Performance Physical Therapy Of Idaho | |
450 W State St Ste 270, Eagle, ID 83616-6974 | |
(925) 856-7007 | |
Not Available |
Full Name | Performance Physical Therapy Of Idaho |
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Type | Facility |
Speciality | Physical Therapist |
Location | 450 W State St Ste 270, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295234367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew Candau |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457746067 PECOS PAC ID: 9436470069 Enrollment ID: I20170425002757 |
Provider Name | Chad S Neubauer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619398393 PECOS PAC ID: 5395168587 Enrollment ID: I20200707000769 |
Mailing Address | Practice Location Address |
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Performance Physical Therapy Of Idaho 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Performance Physical Therapy Of Idaho 450 W State St Ste 270, Eagle, ID 83616-6974 Ph: (925) 856-7007 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 | |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 | |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 | |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 | |
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 | |
Ms. Megan Meduna, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 | |
Elise Talboy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 S Wooddale Pl, Eagle, ID 83616 Phone: 208-477-7363 |