| Tyler Sebring, PT, DPT | |
|
675 Yellowstone Ave # 1, Pocatello, ID 83201-4511 | |
| (208) 478-1488 | |
| Not Available |
| Full Name | Tyler Sebring |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 675 Yellowstone Ave # 1, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275109522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT-7292 (Idaho) | Primary |
| Provider Name | Physical Therapy Specialists Of Idaho |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548699465 PECOS PAC ID: 3577791920 Enrollment ID: O20140110001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Sebring, PT, DPT 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Tyler Sebring, PT, DPT 675 Yellowstone Ave # 1, Pocatello, ID 83201-4511 Ph: (208) 478-1488 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Medicare Enrolled Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |