Kathleen Johnson Wesolowski, PT | |
450 W State St Ste 270, Eagle, ID 83616-6974 | |
(208) 462-0808 | |
(208) 516-4488 |
Full Name | Kathleen Johnson Wesolowski |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 36 Years |
Location | 450 W State St Ste 270, Eagle, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457365538 | NPI | - | NPPES |
PT-9207 | Other | ID | STATE LICENSE |
PT15209 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT-9207 (Idaho) | Secondary |
225100000X | Physical Therapist | PT15209 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
B.e.s.t. Physical Therapy A Prof Corp | 7719970748 | 7 |
Provider Name | B.e.s.t. Physical Therapy A Prof Corp |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1841214491 PECOS PAC ID: 7719970748 Enrollment ID: O20040406000838 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Johnson Wesolowski, PT 1832 N Bello Sara Way, Eagle, ID 83616-6989 Ph: (408) 439-2414 | Kathleen Johnson Wesolowski, PT 450 W State St Ste 270, Eagle, ID 83616-6974 Ph: (208) 462-0808 |
Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 | |
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635 | |
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670 | |
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828 | |
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618 | |
Ms. Megan Meduna, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338 | |
Elise Talboy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 S Wooddale Pl, Eagle, ID 83616 Phone: 208-477-7363 |