| Southern Idaho Therapy Services | |
|
1224 8th St Ste A, Rupert, ID 83350-1527 | |
| (208) 436-9016 | |
| (208) 436-4922 |
| Full Name | Southern Idaho Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1224 8th St Ste A, Rupert, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275698490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jeffery D Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205855202 PECOS PAC ID: 8224028568 Enrollment ID: I20040517001465 |
| Provider Name | Davee Mussmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144202938 PECOS PAC ID: 9234130469 Enrollment ID: I20070130000665 |
| Provider Name | Maria E Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730104597 PECOS PAC ID: 9133223092 Enrollment ID: I20070402000682 |
| Provider Name | Matthew Mckee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154976207 PECOS PAC ID: 2567792914 Enrollment ID: I20190926003353 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Idaho Therapy Services 228 E 100 S, Jerome, ID 83338-6306 Ph: (208) 644-6474 | Southern Idaho Therapy Services 1224 8th St Ste A, Rupert, ID 83350-1527 Ph: (208) 436-9016 |
Mrs. Davee Carpenter Mussmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 | |
Dr. Matthew Mckee, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St Ste A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Mr. Jeffery D. Baldwin, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Michael Sunderland, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1024 8th St, Rupert, ID 83350 Phone: 208-654-1444 Fax: 208-643-4168 | |
Maria E. Hernandez, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Suite A, Rupert, ID 83350 Phone: 208-436-9016 Fax: 208-436-4922 | |
Peggy Goodman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 18th St, Rupert, ID 83350 Phone: 208-431-3444 |