| Skyler Tidd, DPT | |
|
402 Lake Cascade Parkway, Cascade, ID 83611 | |
| (208) 382-3862 | |
| Not Available |
| Full Name | Skyler Tidd |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 402 Lake Cascade Parkway, Cascade, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861917551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-5300 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Skyler Tidd, DPT 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 Ph: (208) 382-3862 | Skyler Tidd, DPT 402 Lake Cascade Parkway, Cascade, ID 83611 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 | |
Matthew Thomas Law, DPT 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 |