| Physical Therapy Sports & Rehab | |
|
540 S Garfield Ave, Pocatello, ID 83204-3333 | |
| (208) 232-2740 | |
| Not Available |
| Full Name | Physical Therapy Sports & Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 540 S Garfield Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831181106 | NPI | - | NPPES |
| 0026437 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT004 (Idaho) | Primary |
| 225100000X | Physical Therapist | RPT195 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Sports & Rehab 540 S Garfield Ave, Pocatello, ID 83204-3333 Ph: (208) 232-2740 | Physical Therapy Sports & Rehab 540 S Garfield Ave, Pocatello, ID 83204-3333 Ph: (208) 232-2740 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |