| Kellogg Physical Therapy Inc | |
|
740 Mckinley Ave, Kellogg, ID 83837-2693 | |
| (208) 783-3015 | |
| (208) 783-3015 |
| Full Name | Kellogg Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 740 Mckinley Ave, Kellogg, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700898376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RPT631 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kellogg Physical Therapy Inc 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-3015 | Kellogg Physical Therapy Inc 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-3015 |
Tara Marie Lodi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1625 | |
Rusty M Wood, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 704 Mckinley Avenue, Kellogg, ID 83837 Phone: 208-783-3015 | |
Cory I Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-457-9125 | |
Kelli Jean Kenser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-3015 | |
Sheri L. Zumstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1610 | |
Lisa Joann Darst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Mountain Valley Care & Rehabilitation Center, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151 |