| Mr Nicholas P Greenwell, MPT | |
|
1263 Bennett Ave, Suite 2, Burley, ID 83318-2666 | |
| (208) 678-1191 | |
| (208) 678-1214 |
| Full Name | Mr Nicholas P Greenwell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1263 Bennett Ave, Burley, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669530119 | NPI | - | NPPES |
| T5311 | Other | ID | BLUE CROSS |
| 000010009167 | Other | ID | BLUE SHIELD |
| 805407400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1359 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas P Greenwell, MPT 1263 Bennett Ave, Ste 2, Burley, ID 83318-4906 Ph: (208) 678-1191 | Mr Nicholas P Greenwell, MPT 1263 Bennett Ave, Suite 2, Burley, ID 83318-2666 Ph: (208) 678-1191 |
Dr. Tyler Carlen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6530 | |
Nicholas Lewis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 Fax: 208-647-0239 | |
Austin Stoddard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1263 Bennett Ave Ste 2, Burley, ID 83318 Phone: 208-678-1191 | |
Mr. Jeffrey Dwain Manion, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Sandy Glen Ln, Burley, ID 83318 Phone: 402-290-4584 | |
Ryan Patrick Mccormick, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 Fax: 208-647-0239 | |
Troy Michael Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-677-6530 | |
Antonino Roberto Russo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1945 Hiland Ave, Burley, ID 83318 Phone: 208-647-0024 |