Rusty M Wood, MPT | |
704 Mckinley Avenue, Kellogg, ID 83837 | |
(208) 783-3015 | |
Not Available |
Full Name | Rusty M Wood |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 704 Mckinley Avenue, Kellogg, 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 |
---|---|---|---|
1295034684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1460 (Idaho) | Primary |
Provider Name | Kellogg Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700898376 PECOS PAC ID: 4082618384 Enrollment ID: O20060829000067 |
Mailing Address | Practice Location Address |
---|---|
Rusty M Wood, MPT P.o. Box 546, Pinehurst, ID 83850 Ph: (208) 682-3082 | Rusty M Wood, MPT 704 Mckinley Avenue, Kellogg, ID 83837 Ph: (208) 783-3015 |
Tara Marie Lodi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1625 | |
Cory I Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-457-9125 | |
Kellogg Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-3015 Fax: 208-783-3015 | |
Sheri L. Zumstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1610 | |
Lisa Joann Darst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Mountain Valley Care & Rehabilitation Center, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151 |