| Rathdrum Physical Therapy, Inc. | |
|
14775 N Kimo Ct, Ste A, Rathdrum, ID 83858-8762 | |
| (208) 687-9240 | |
| (208) 687-9241 |
| Full Name | Rathdrum Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 14775 N Kimo Ct, Rathdrum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225059157 | NPI | - | NPPES |
| 807396800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1462 (Idaho) | Primary |
| Provider Name | Christopher J Garrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598790396 PECOS PAC ID: 4981517026 Enrollment ID: I20100916000791 |
| Provider Name | Keagan Scott Shillington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083249197 PECOS PAC ID: 9739518382 Enrollment ID: I20200401003212 |
| Mailing Address | Practice Location Address |
|---|---|
| Rathdrum Physical Therapy, Inc. 14775 N Kimo Ct, Ste A, Rathdrum, ID 83858-8762 Ph: (208) 687-9240 | Rathdrum Physical Therapy, Inc. 14775 N Kimo Ct, Ste A, Rathdrum, ID 83858-8762 Ph: (208) 687-9240 |
Keagan Scott Shillington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14775 N Kimo Ct Ste A, Rathdrum, ID 83858 Phone: 208-687-9240 Fax: 208-687-9241 | |
Lakeland Physical Therapy And Sports Injuries P.a. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16768 N Highway 41, Rathdrum, ID 83858 Phone: 208-687-9195 | |
Jason Michael Valois, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16768 N Highway 41, Rathdrum, ID 83858 Phone: 208-687-9195 Fax: 208-687-9750 | |
Craig Cahan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14962 N Wright St, Rathdrum, ID 83858 Phone: 208-755-2458 Fax: 866-439-2298 | |
On The Go Pediatric Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14962 N Wright St, Rathdrum, ID 83858 Phone: 208-540-1990 | |
Christine Danser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14775 N Kimo Ct, Ste A, Rathdrum, ID 83858 Phone: 208-687-9240 Fax: 208-687-9241 |