| Mr Justin Hofhines, MPT, ATC | |
|
9882 W State St, Star, ID 83669-5210 | |
| (208) 286-0766 | |
| (208) 286-0768 |
| Full Name | Mr Justin Hofhines |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9882 W State St, Star, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356426514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1923 (Idaho) | Primary |
| Provider Name | Silver Fern Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20170203002646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Hofhines, MPT, ATC 2680 Wildwood St, Boise, ID 83713-5065 Ph: (208) 377-1673 | Mr Justin Hofhines, MPT, ATC 9882 W State St, Star, ID 83669-5210 Ph: (208) 286-0766 |
Mrs. Danielle-noelle D. Wuerfel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11095 W Collina Vista Dr, Star, ID 83669 Phone: 269-277-1224 | |
Nichols Therapy Group Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768 | |
Krysia Kristine Rousseau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 704 N Nebula Ct, Star, ID 83669 Phone: 208-703-9824 | |
Mrs. Judianne King Nichols, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768 | |
Lindsey E. Decloss, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9652 W State St, Star, ID 83669 Phone: 208-286-0766 | |
Clayton Towner Shaw, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 S Star Rd, Star, ID 83669 Phone: 208-268-0089 Fax: 208-488-4248 | |
Boise River Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 S Star Road, Suite 2, Star, ID 83669 Phone: 815-540-6065 Fax: 815-380-6355 |