| Scott Randklev Physical Therapy P.a. | |
|
370 E Kathleen Ave Ste 500, Coeur D Alene, ID 83815-5238 | |
| (208) 292-1372 | |
| (208) 292-1374 |
| Full Name | Scott Randklev Physical Therapy P.a. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 370 E Kathleen Ave Ste 500, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437744752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| Provider Name | Scott Randklev |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568756716 PECOS PAC ID: 7012187669 Enrollment ID: I20120109000567 |
| Provider Name | Erin Michelle Blakley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750871349 PECOS PAC ID: 2062769474 Enrollment ID: I20180717001107 |
| Provider Name | Kinzie Marie Munar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639528185 PECOS PAC ID: 9133408461 Enrollment ID: I20201211002251 |
| Provider Name | Ben John Baarspul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063522928 PECOS PAC ID: 2769481217 Enrollment ID: I20210930000843 |
| Provider Name | Lauren Halterman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083450043 PECOS PAC ID: 2668910563 Enrollment ID: I20240809001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Randklev Physical Therapy P.a. 1296 S Fairmont Loop, Coeur D Alene, ID 83814-8932 Ph: (208) 431-0268 | Scott Randklev Physical Therapy P.a. 370 E Kathleen Ave Ste 500, Coeur D Alene, ID 83815-5238 Ph: (208) 292-1372 |
Mark Andrew Stevens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4475 Fax: 208-966-4475 | |
Mrs. Holly D Bruns, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122 | |
Dr. Sharron Elizabeth Mcmillan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468 | |
Jonathan Hoelzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-772-6609 | |
Pure Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815 Phone: 208-691-8888 | |
Debora Caires Nelson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 Fax: 208-676-8276 |