Reuben Lika Wooley, | |
4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715 | |
(208) 658-9500 | |
(208) 658-9501 |
Full Name | Reuben Lika Wooley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 4776 N Five Mile Rd Ste 101, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437550969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 37496 (California) | Secondary |
225100000X | Physical Therapist | PT-7140 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Achieve Physical Therapy Pllc | 8820177314 | 6 |
Provider Name | Achieve Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659540995 PECOS PAC ID: 8820177314 Enrollment ID: O20080508000757 |
Mailing Address | Practice Location Address |
---|---|
Reuben Lika Wooley, 4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715 Ph: (208) 658-9500 | Reuben Lika Wooley, 4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715 Ph: (208) 658-9500 |
Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517 | |
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674 | |
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531 | |
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444 | |
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138 | |
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Maywood Ave, Boise, ID 83704 Phone: 385-498-1740 | |
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010 |