| Katrina Rhett, PT | |
|
265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 | |
| (208) 417-0011 | |
| (888) 437-2431 |
| Full Name | Katrina Rhett |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 265 E Chubbuck Rd Ste A, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548990187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-7959 (Idaho) | Primary |
| Provider Name | Custom Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215204862 PECOS PAC ID: 4385811454 Enrollment ID: O20120113000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Rhett, PT 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 Ph: (208) 417-0011 | Katrina Rhett, PT 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202-5055 Ph: (208) 417-0011 |
Derrick Northrup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Taylor Ln, Chubbuck, ID 83202 Phone: 208-221-6952 Fax: 844-946-0909 | |
Sophia M Garrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202 Phone: 208-417-0011 Fax: 888-437-2431 | |
Mark Vincent I Soriano Mendoza, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Boyd St, Chubbuck, ID 83202 Phone: 208-417-9605 | |
Flicker Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 Fax: 208-904-2990 | |
Dr. Timothy Andrew Flicker, MPT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 | |
Custom Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-244-1882 | |
Sarah Ingalls, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 Burley Dr, Chubbuck, ID 83202 Phone: 208-637-1100 |