| Hawken Kwayd Wadsworth, DPT | |
|
1053 Eastland Dr, Twin Falls, ID 83301-6747 | |
| (208) 736-9011 | |
| Not Available |
| Full Name | Hawken Kwayd Wadsworth |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1053 Eastland Dr, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588457071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9171263 (Idaho) | Primary |
| Provider Name | Bbpt Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811951841 PECOS PAC ID: 7315935913 Enrollment ID: O20040503001496 |
| Provider Name | Bodybalance Pt Twin Falls Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043657828 PECOS PAC ID: 0143456814 Enrollment ID: O20131202001861 |
| Mailing Address | Practice Location Address |
|---|---|
| Hawken Kwayd Wadsworth, DPT 2045 Rivercrest Dr Apt 304, Twin Falls, ID 83301-3089 Ph: (208) 650-2787 | Hawken Kwayd Wadsworth, DPT 1053 Eastland Dr, Twin Falls, ID 83301-6747 Ph: (208) 736-9011 |
Lifestyles Therapy & Wellness Center Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 276 Eastland Dr N, Twin Falls, ID 83301 Phone: 208-735-8563 Fax: 208-735-8564 | |
Paul G. Ostyn, MPT, MA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Shoup Ave W, Twin Falls, ID 83301 Phone: 208-737-2126 | |
Andrew Isaac Sturgill, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301 Phone: 208-736-9011 | |
Elizabeth Anne Olorenshaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Eastland Dr, Twin Falls, ID 83301 Phone: 208-736-9011 Fax: 208-934-9014 | |
Cody Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line, Twin Falls, ID 83301 Phone: 208-814-2570 | |
Cade Searle, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 754 N College Rd Ste D, Twin Falls, ID 83301 Phone: 208-734-5313 | |
Nikki Sophia Rogers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 |