| Preston Physical Therapy Llc | |
|
10 S 100 W Ste A, Preston, ID 83263-1244 | |
| (208) 852-1143 | |
| (208) 852-3951 |
| Full Name | Preston Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10 S 100 W Ste A, Preston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831424878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Tifani J Waechtler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144313610 PECOS PAC ID: 0840215604 Enrollment ID: I20051011000357 |
| Provider Name | Charles R Acevedo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134239254 PECOS PAC ID: 1355396235 Enrollment ID: I20091202000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Physical Therapy Llc Po Box 14, Lewiston, UT 84320-0014 Ph: (435) 770-5199 | Preston Physical Therapy Llc 10 S 100 W Ste A, Preston, ID 83263-1244 Ph: (208) 852-1143 |
Mountain Integrated Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-604-1375 | |
Mrs. Tifani Waechtler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 43 North 100 East, Preston, ID 83263 Phone: 208-852-0116 Fax: 208-852-0116 | |
Dr. Leo E Robertson Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 S State St, Preston, ID 83263 Phone: 208-852-4122 Fax: 208-852-7187 | |
Mr. Douglas Winward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 North 100 East, Preston, ID 83263 Phone: 208-852-0116 Fax: 208-852-0116 |