| Streubel Therapy Services | |
|
285 E Little Ave, Driggs, ID 83422-5137 | |
| (208) 354-1999 | |
| (208) 354-1999 |
| Full Name | Streubel Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 285 E Little Ave, Driggs, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992932263 | NPI | - | NPPES |
| 004405500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT-937 (Idaho) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Daniel N Streubel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063542504 PECOS PAC ID: 0840246674 Enrollment ID: I20050324000852 |
| Provider Name | Andrew Mayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265961841 PECOS PAC ID: 3375814312 Enrollment ID: I20170809001077 |
| Provider Name | Ryan Michael Marquart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164820106 PECOS PAC ID: 1254656770 Enrollment ID: I20190731001009 |
| Provider Name | Morgan Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437761889 PECOS PAC ID: 1052731965 Enrollment ID: I20201014003792 |
| Provider Name | Michael D Barton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508583014 PECOS PAC ID: 8820460819 Enrollment ID: I20230221003190 |
| Provider Name | Ann Elizabeth Alton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396021317 PECOS PAC ID: 5991963043 Enrollment ID: I20240205004194 |
| Provider Name | Marcel R Lak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902964943 PECOS PAC ID: 1557307212 Enrollment ID: I20240328003654 |
| Mailing Address | Practice Location Address |
|---|---|
| Streubel Therapy Services 1479 Table Rock Dr, Driggs, ID 83422-5292 Ph: (208) 354-1999 | Streubel Therapy Services 285 E Little Ave, Driggs, ID 83422-5137 Ph: (208) 354-1999 |