| Streamline Sports Physical Therapy Pc | |
|
335 E Lewis St Ste 10, Pocatello, ID 83201-6408 | |
| (208) 269-2360 | |
| (208) 550-3256 |
| Full Name | Streamline Sports Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 335 E Lewis St Ste 10, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073038378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2831 (Idaho) | Primary |
| Provider Name | Blaire M Zikratch-clayson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538453360 PECOS PAC ID: 4789852435 Enrollment ID: I20110722000604 |
| Provider Name | Christine F Waite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952733552 PECOS PAC ID: 0446494942 Enrollment ID: I20130924000530 |
| Provider Name | Andrew Blake Goode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447698113 PECOS PAC ID: 8921319815 Enrollment ID: I20150618001796 |
| Provider Name | Kenneth Blair Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518582212 PECOS PAC ID: 6103248471 Enrollment ID: I20200616001271 |
| Provider Name | Michael T Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922673383 PECOS PAC ID: 1254733082 Enrollment ID: I20210715001951 |
| Provider Name | Chandra T Farnham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710671862 PECOS PAC ID: 4789044520 Enrollment ID: I20230712002316 |
| Mailing Address | Practice Location Address |
|---|---|
| Streamline Sports Physical Therapy Pc 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 Ph: (208) 269-2360 | Streamline Sports Physical Therapy Pc 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 Ph: (208) 269-2360 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 |