Matthew Thomas Law, DPT | |
402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | |
(208) 382-3862 | |
Not Available |
Full Name | Matthew Thomas Law |
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Gender | Male |
Speciality | Physical Therapist |
Location | 402 Lake Cascade Pkwy, Cascade, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659089662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT61368551 (Washington) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Matthew Thomas Law, DPT Po Box 1330, Cascade, ID 83611-1330 Ph: (208) 382-3862 | Matthew Thomas Law, DPT 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 Ph: (208) 382-3862 |
Alison Leigh Roehner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-3862 Fax: 208-382-3359 | |
Mrs. Katherine Farmer, TDPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-3862 | |
Mr. Bret A Bastian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-3862 | |
Skyler Tidd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 Lake Cascade Parkway, Cascade, ID 83611 Phone: 208-382-3862 |