| Dr Davis Madsen Borg, DPT | |
|
134 E Idaho Ave, Homedale, ID 83628-5003 | |
| (208) 337-3254 | |
| Not Available |
| Full Name | Dr Davis Madsen Borg |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 134 E Idaho Ave, Homedale, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699471581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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 |
|---|---|
| Dr Davis Madsen Borg, DPT 5062 N Papago Ave, Boise, ID 83713-2059 Ph: (208) 912-3531 | Dr Davis Madsen Borg, DPT 134 E Idaho Ave, Homedale, ID 83628-5003 Ph: (208) 337-3254 |
Brett J Homstad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
James M Muir, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Hilary O'bannon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Jesse Tyler Cook, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 Fax: 208-337-3264 | |
Kerby Andersen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 E Idaho Ave, Homedale, ID 83628 Phone: 208-337-3254 |