| Kolten D Glider, DPT | |
|
299 Anderson Rd, Shelley, ID 83274-4927 | |
| (208) 782-4744 | |
| (208) 906-1554 |
| Full Name | Kolten D Glider |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 299 Anderson Rd, Shelley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861184392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8634 (Idaho) | Primary |
| Provider Name | Wright Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583 |
| Mailing Address | Practice Location Address |
|---|---|
| Kolten D Glider, DPT 1411 Falls Ave E Ste 401, Twin Falls, ID 83301-3455 Ph: (208) 969-9945 | Kolten D Glider, DPT 299 Anderson Rd, Shelley, ID 83274-4927 Ph: (208) 782-4744 |
Matthew John Ricci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Joshua Darwin Bischoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Dayne F Shaw, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 5, Shelley, ID 83274 Phone: 208-428-6079 | |
Cruz Therapy Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 186 W Pine St, Shelley, ID 83274 Phone: 208-680-4787 | |
Deidra Nichols, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 N State St, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-906-1554 | |
Chrystal Dawn Browning, PT, DPT, PCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 N State St Ste 5, Shelley, ID 83274 Phone: 208-221-4677 Fax: 208-209-6079 | |
Samantha Ryleigh Brandt, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 Anderson Rd, Shelley, ID 83274 Phone: 208-782-4744 Fax: 208-782-4744 |