| Pioneer Sports & Pain Center Llc | |
|
757 E Wythe Creek Ct Ste 102, Kuna, ID 83634-5006 | |
| (208) 922-4908 | |
| (208) 922-4909 |
| Full Name | Pioneer Sports & Pain Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 757 E Wythe Creek Ct Ste 102, Kuna, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CHIA-1159 (Idaho) | Primary |
| Provider Name | Stephen K Burtenshaw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386652691 PECOS PAC ID: 2769487644 Enrollment ID: I20060927000473 |
| Provider Name | Dustin D Elliott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164968640 PECOS PAC ID: 9436426400 Enrollment ID: I20170522002771 |
| Provider Name | Cara L Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477718930 PECOS PAC ID: 8628293917 Enrollment ID: I20190605001930 |
| Provider Name | Ashley Nicole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326722752 PECOS PAC ID: 8123480118 Enrollment ID: I20230808000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Sports & Pain Center Llc 757 E Wythe Creek Ct Ste 102, Kuna, ID 83634-5006 Ph: (208) 922-4908 | Pioneer Sports & Pain Center Llc 757 E Wythe Creek Ct Ste 102, Kuna, ID 83634-5006 Ph: (208) 922-4908 |
Dr. William J Dennis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 708 E Wythe Creek Ct Ste 102a, Kuna, ID 83634 Phone: 208-922-9904 | |
Kuna Chiropractic Family Care Center Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 675 W. 4th St., Kuna, ID 83634 Phone: 208-922-5057 Fax: 208-922-5087 | |
Dustin David Elliott, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 757 E Wythe Creek Ct Ste 102, Kuna, ID 83634 Phone: 208-922-4908 Fax: 208-922-4909 | |
Dr. Kevin Aubrey Rosenlund, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 675 W 4th St, Kuna, ID 83634 Phone: 208-922-5057 Fax: 208-922-5087 | |
Dr. Stephen Kyle Burtenshaw, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 757 E Wythe Creek Ct Ste 102, Kuna, ID 83634 Phone: 208-922-4908 Fax: 208-922-4909 |