| St. Mary's Hospital | |
|
617 W North St, Grangeville, ID 83530-1239 | |
| (208) 983-2241 | |
| (208) 983-2766 |
| Full Name | St. Mary's Hospital |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 617 W North St, Grangeville, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790919991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Hospital 617 W North St, Grangeville, ID 83530-1239 Ph: (208) 983-2241 | St. Mary's Hospital 617 W North St, Grangeville, ID 83530-1239 Ph: (208) 983-2241 |
Melissa Lane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1973 | |
Benjamin Allen Detweiler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 | |
Oi Min Anthony Chai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 Farrens Creek Lane, Grangeville, ID 83530 Phone: 951-205-2380 | |
Mr. Jeremy Thomas Pettinger, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 E Main St, Grangeville, ID 83530 Phone: 208-406-5195 | |
Benjamin Reeves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 W North St Ste 1, Grangeville, ID 83530 Phone: 208-983-1873 |