| Physical Therapy Plus Of Idaho Pllc | |
|
180 W 1st St, #101, Ketchum, ID 83340 | |
| (208) 725-5185 | |
| (208) 725-5192 |
| Full Name | Physical Therapy Plus Of Idaho Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 180 W 1st St, Ketchum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801875604 | NPI | - | NPPES |
| HCFAT9511 | Other | ID | BLUE CROSS |
| 805993300 | Medicaid | ID | |
| CB2679 | Other | RAILROAD MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Sydney L Praeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821077223 PECOS PAC ID: 8426035460 Enrollment ID: I20120620000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Plus Of Idaho Pllc Po Box 2182, 180 W 1st St #101, Ketchum, ID 83340-2182 Ph: (208) 725-5185 | Physical Therapy Plus Of Idaho Pllc 180 W 1st St, #101, Ketchum, ID 83340 Ph: (208) 725-5185 |
Robbin Warner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8253 | |
John C Koth, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Saddle Road, Ketchum, ID 83340 Phone: 208-726-9222 Fax: 208-726-1607 | |
Jill Morse, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Raven Road, Ketchum, ID 83340 Phone: 208-726-7246 | |
Skye Pauly Reinking, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 245 Raven Rd, Suite B, Ketchum, ID 83340 Phone: 208-726-7246 | |
Koth Sports Physical Therapy, Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Saddle Road, Ketchum, ID 83340 Phone: 208-726-9222 Fax: 208-726-1607 | |
Dr. Brenna Colleen Rohnkohl, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr #104, Ketchum, ID 83340 Phone: 208-727-8253 | |
Sarah Armstrong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Way, Suite 104, Ketchum, ID 83340 Phone: 208-727-8253 |