Stafford Physical Therapy | |
280 E Jackson St, Mountain Home, ID 83647 | |
(208) 991-8487 | |
Not Available |
Full Name | Stafford Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 280 E Jackson St, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881118941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | PT-2466 (Idaho) | Secondary |
Provider Name | Daren A Stafford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447431051 PECOS PAC ID: 7214079631 Enrollment ID: I20100123000189 |
Mailing Address | Practice Location Address |
---|---|
Stafford Physical Therapy 280 E Jackson St, Mountain Home, ID 83647-2708 Ph: (208) 991-8487 | Stafford Physical Therapy 280 E Jackson St, Mountain Home, ID 83647 Ph: (208) 991-8487 |
Dustin K Elliott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 W 6th S, Mountain Home, ID 83647 Phone: 208-587-1777 Fax: 208-587-1784 | |
Anson C Call, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 W 6th S, Mountain Home, ID 83647 Phone: 208-587-1777 Fax: 208-587-1784 | |
Scott W Sessions, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 245 N. 3rd, Mountain Home, ID 83647 Phone: 208-587-8944 Fax: 208-587-6105 | |
Jacob Gibson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Doctors Of Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3195 E 8th N, Mountain Home, ID 83647 Phone: 208-269-6290 Fax: 208-450-2268 | |
Daniel Eichele, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 W 6th S, Mountain Home, ID 83647 Phone: 208-587-1777 Fax: 208-587-1784 | |
Dale Robert Gibbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 W 6th S, Mountain Home, ID 83647 Phone: 208-587-1777 Fax: 208-587-1784 |