Streubel Physical Therapy | |
285 E Little Ave, Driggs, ID 83422-5137 | |
(208) 354-1999 | |
(208) 354-1999 |
Full Name | Streubel Physical Therapy |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 285 E Little Ave, Driggs, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992932263 | NPI | - | NPPES |
004405500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT-937 (Idaho) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Daniel N Streubel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063542504 PECOS PAC ID: 0840246674 Enrollment ID: I20050324000852 |
Provider Name | Kelly P Sadauckas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992006761 PECOS PAC ID: 9830378983 Enrollment ID: I20110121000695 |
Provider Name | Andrew Mayer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265961841 PECOS PAC ID: 3375814312 Enrollment ID: I20170809001077 |
Provider Name | Ryan Michael Marquart |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164820106 PECOS PAC ID: 1254656770 Enrollment ID: I20190731001009 |
Provider Name | Morgan Moore |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437761889 PECOS PAC ID: 1052731965 Enrollment ID: I20201014003792 |
Provider Name | Michael D Barton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508583014 PECOS PAC ID: 8820460819 Enrollment ID: I20230221003190 |
Provider Name | Ann Elizabeth Alton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396021317 PECOS PAC ID: 5991963043 Enrollment ID: I20240205004194 |
Provider Name | Marcel R Lak |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902964943 PECOS PAC ID: 1557307212 Enrollment ID: I20240328003654 |
Mailing Address | Practice Location Address |
---|---|
Streubel Physical Therapy 1479 Table Rock Dr, Driggs, ID 83422-5292 Ph: (208) 354-1999 | Streubel Physical Therapy 285 E Little Ave, Driggs, ID 83422-5137 Ph: (208) 354-1999 |