| Justin Richard Brunner, DPT | |
|
164 S 5th St, Montpelier, ID 83254-1597 | |
| (208) 847-4417 | |
| (208) 847-4431 |
| Full Name | Justin Richard Brunner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 164 S 5th St, Montpelier, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225883192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT-4508 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Richard Brunner, DPT 164 S 5th St, Montpelier, ID 83254-1597 Ph: (208) 847-4417 | Justin Richard Brunner, DPT 164 S 5th St, Montpelier, ID 83254-1597 Ph: (208) 847-4417 |
Gregory William Hyde, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-847-4417 | |
Dr. William Crane, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-847-4417 | |
Bear Lake Physical Therapy - Montpelier Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 N 4th Street, Montpelier, ID 83254 Phone: 208-847-1342 Fax: 435-744-6066 |