Vault Physical Therapy Llc | |
615 21st St, Lewiston, ID 83501-3285 | |
(980) 297-0839 | |
Not Available |
Full Name | Vault Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 615 21st St, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891563755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Hannah Gibbs |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013396951 PECOS PAC ID: 1658683743 Enrollment ID: I20150701002712 |
Mailing Address | Practice Location Address |
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Vault Physical Therapy Llc 20888 Kidd Dr, Lewiston, ID 83501-5684 Ph: (980) 297-0839 | Vault Physical Therapy Llc 615 21st St, Lewiston, ID 83501-3285 Ph: (980) 297-0839 |
Dr. Hannah Gibbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 615 21st St, Lewiston, ID 83501 Phone: 208-413-7062 | |
Kyle Joseph Knigge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 328 Warner Dr Ste 8, Lewiston, ID 83501 Phone: 208-746-7573 | |
Colleen Ann Schlangen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2870 Juniper Dr, Lewiston, ID 83501 Phone: 208-746-2855 | |
Institute Of Physical Therapy And Fitness Physical Therapist Medicare: Medicare Enrolled Practice Location: 678 Southway Ave, Lewiston, ID 83501 Phone: 208-746-1418 Fax: 208-746-4123 | |
Gretchen Gay Gundy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3317 12th St, Lewiston, ID 83501 Phone: 208-748-3258 | |
Keith R Drury, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 678 Southway Ave, Lewiston, ID 83501 Phone: 208-746-1418 Fax: 208-746-4123 | |
Peak Performance Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 216 Larkspur Ln, Lewiston, ID 83501 Phone: 208-746-0455 Fax: 208-746-0688 |