| Idaho Lung And Heart | |
|
38 S 2nd E, Rexburg, ID 83440-2671 | |
| (801) 616-7253 | |
| Not Available |
| Full Name | Idaho Lung And Heart |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 38 S 2nd E, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306608104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Bradley S Cordero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932494002 PECOS PAC ID: 3577732270 Enrollment ID: I20110815000732 |
| Provider Name | Kimberly Fjelstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619539780 PECOS PAC ID: 0446789911 Enrollment ID: I20250129000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Lung And Heart 38 S 2nd E Ste 2, Rexburg, ID 83440-2675 Ph: (801) 616-7253 | Idaho Lung And Heart 38 S 2nd E, Rexburg, ID 83440-2671 Ph: (801) 616-7253 |
Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001 | |
Cody Lane Castellaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Anthony Humphries, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Mhd Therapies, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 36 Professional Plz, Ste 110, Rexburg, ID 83440 Phone: 208-359-9570 Fax: 208-359-9580 |