Tri-city Physical Therapy, P.c. | |
275 E 7th St, Weiser, ID 83672-2303 | |
(208) 549-1008 | |
(208) 549-1396 |
Full Name | Tri-city Physical Therapy, P.c. |
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Type | Facility |
Speciality | Specialist |
Location | 275 E 7th St, Weiser, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477573756 | NPI | - | NPPES |
804093200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
174400000X | Specialist | (* (Not Available)) | Primary |
Provider Name | Janeil M Heaton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245205665 PECOS PAC ID: 8820064660 Enrollment ID: I20040902001435 |
Provider Name | Craig L Hamann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942248596 PECOS PAC ID: 5597778951 Enrollment ID: I20060801000408 |
Provider Name | Cody Dee Stephens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174598593 PECOS PAC ID: 5799860052 Enrollment ID: I20080311000287 |
Provider Name | Logan R. Bake |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407265838 PECOS PAC ID: 9234465196 Enrollment ID: I20190730003150 |
Mailing Address | Practice Location Address |
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Tri-city Physical Therapy, P.c. 275 E 7th St, Weiser, ID 83672-2303 Ph: (208) 549-1008 | Tri-city Physical Therapy, P.c. 275 E 7th St, Weiser, ID 83672-2303 Ph: (208) 549-1008 |