Phillip Wade Kreissler, DPT | |
1015 12th Ave S, Suite 105, Nampa, ID 83651-4602 | |
(208) 467-4357 | |
(208) 467-4395 |
Full Name | Phillip Wade Kreissler |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1015 12th Ave S, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972750594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2382 (Idaho) | Primary |
Provider Name | Sawtooth Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013206002 PECOS PAC ID: 1759552961 Enrollment ID: O20110920000507 |
Mailing Address | Practice Location Address |
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Phillip Wade Kreissler, DPT 1015 12th Ave S, Suite 105, Nampa, ID 83651-4602 Ph: (208) 467-4357 | Phillip Wade Kreissler, DPT 1015 12th Ave S, Suite 105, Nampa, ID 83651-4602 Ph: (208) 467-4357 |
Nathan Ira Allen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651 Phone: 208-442-0577 Fax: 208-442-7455 | |
Peter James Rowley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 337 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-7889 Fax: 208-467-7800 | |
Carmen M Schmidt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-489-5950 | |
Mr. James Richard Teater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-5059 | |
Derek Matthew Wood, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 | |
Tyler Powell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16816 N Marketplace Blvd, Nampa, ID 83687 Phone: 208-461-9593 Fax: 208-369-9272 | |
Verl Dean Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14873 Hensen Dr, Nampa, ID 83651 Phone: 208-475-1986 |