| Michelle Holt, DPT | |
|
809 S Washington Ave, Emmett, ID 83617-3528 | |
| (208) 365-5341 | |
| (208) 365-5342 |
| Full Name | Michelle Holt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 809 S Washington Ave, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750068847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2554 (Idaho) | Primary |
| Provider Name | Rehabauthority Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20040401001711 |
| Provider Name | Peak Physical Therapy P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073551560 PECOS PAC ID: 7012977168 Enrollment ID: O20041013001176 |
| Provider Name | Modern Rehab |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790126522 PECOS PAC ID: 2860626736 Enrollment ID: O20131008001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Holt, DPT Po Box 2072, Eagle, ID 83616-9111 Ph: (208) 477-7363 | Michelle Holt, DPT 809 S Washington Ave, Emmett, ID 83617-3528 Ph: (208) 365-5341 |
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 |