Star Physical Therapy | |
316 W 2nd S, Soda Springs, ID 83276-1515 | |
(208) 251-6301 | |
Not Available |
Full Name | Star Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 316 W 2nd S, Soda Springs, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598222770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael David Rupp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184042129 PECOS PAC ID: 9032334321 Enrollment ID: I20140630000606 |
Provider Name | Douglas Wayne Ball |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891916359 PECOS PAC ID: 6305895137 Enrollment ID: I20190410001528 |
Mailing Address | Practice Location Address |
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Star Physical Therapy 316 W 2nd S, Soda Springs, ID 83276-1515 Ph: (208) 251-6301 | Star Physical Therapy 316 W 2nd S, Soda Springs, ID 83276-1515 Ph: (208) 251-6301 |
Ronald Rutten, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 | |
David C Telford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-2781 | |
Healthbeat Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 W 2nd S, Soda Springs, ID 83276 Phone: 208-547-4404 | |
Douglas P. Cox, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 421 W 2nd S, Soda Springs, ID 83276 Phone: 208-236-1600 Fax: 208-236-6695 |