| King Physical Therapy P.c. | |
|
103 S Commercial Ave, Emmett, ID 83617-2921 | |
| (208) 477-8028 | |
| (208) 287-9426 |
| Full Name | King Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 103 S Commercial Ave, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891000386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1924 (Idaho) | Primary |
| Provider Name | Scott G King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053648923 PECOS PAC ID: 6608990403 Enrollment ID: I20100831000864 |
| Mailing Address | Practice Location Address |
|---|---|
| King Physical Therapy P.c. Po Box 1056, Emmett, ID 83617-1056 Ph: (208) 477-8028 | King Physical Therapy P.c. 103 S Commercial Ave, Emmett, ID 83617-2921 Ph: (208) 477-8028 |
Scott Glen King, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 S Commercial Ave, Emmett, ID 83617 Phone: 208-477-8028 | |
Daniel Davidson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 S Washington Ave, Emmett, ID 83617 Phone: 208-365-5341 | |
Joshua Golden, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 S Washington Ave, Emmett, ID 83617 Phone: 208-365-5341 | |
Emme Warnken, Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 S Washington Ave, Emmett, ID 83617 Phone: 208-365-5341 | |
Kenneth J Murdock, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 S Washington Ave, Emmett, ID 83617 Phone: 208-365-5341 Fax: 208-365-5343 | |
Brandon Scott Sallee, Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 S Washington Ave, Emmett, ID 83617 Phone: 208-365-5341 Fax: 208-365-5342 | |
Mr. Steven Gerald Balle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 N Butte Ave, Emmett, ID 83617 Phone: 208-365-4425 |