| The Physical Therapy And Sportsmedicine Clinic Inc | |
|
133 E Main St, Rexburg, ID 83440-1911 | |
| (208) 356-6607 | |
| (208) 356-5835 |
| Full Name | The Physical Therapy And Sportsmedicine Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 133 E Main St, Rexburg, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932382777 | NPI | - | NPPES |
| 1654675 | Other | ID | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | T-236 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Physical Therapy And Sportsmedicine Clinic Inc 133 E Main St, Rexburg, ID 83440-1911 Ph: (208) 356-6607 | The Physical Therapy And Sportsmedicine Clinic Inc 133 E Main St, Rexburg, ID 83440-1911 Ph: (208) 356-6607 |
Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001 | |
Cody Lane Castellaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Anthony Humphries, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Morgan Jesse Ricks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Winn Dr Ste 100, Rexburg, ID 83440 Phone: 208-356-0174 Fax: 208-356-0176 | |
George Garald Griffeth, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532 |