Andrew Boynton, DPT | |
943 N Linder Rd Ste 104, Kuna, ID 83634-3395 | |
(208) 922-1719 | |
(208) 922-1721 |
Full Name | Andrew Boynton |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 943 N Linder Rd Ste 104, Kuna, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356841050 | NPI | - | NPPES |
PT-5412 | Other | ID | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-5412 (Idaho) | Primary |
Provider Name | Rehabauthority Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20040401001711 |
Mailing Address | Practice Location Address |
---|---|
Andrew Boynton, DPT 1560 S Carol St, Meridian, ID 83646-1839 Ph: (208) 288-1155 | Andrew Boynton, DPT 943 N Linder Rd Ste 104, Kuna, ID 83634-3395 Ph: (208) 922-1719 |
Alyssa Parco, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 672 E Wythe Creek Ct Ste 103, Kuna, ID 83634 Phone: 208-922-9828 | |
Ava Elizabeth Lowell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 672 E Wythe Creek Ct, Kuna, ID 83634 Phone: 208-992-9828 | |
Krystal Reyes, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 672 E Wythe Creek Ct, Suite 103, Kuna, ID 83634 Phone: 208-922-9828 Fax: 208-922-3499 | |
Robert Gray Vining Iii, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 943 N Linder Rd, Suite 104, Kuna, ID 83634 Phone: 208-922-1719 Fax: 208-322-8710 | |
Suzanne Baker Stewart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Avenue C, Suite 3, Kuna, ID 83634 Phone: 208-922-5057 | |
Rocky Wade Elsasser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 943 N Linder Rd, Suite 104, Kuna, ID 63634 Phone: 208-922-1719 Fax: 208-922-1721 |