| Superior Physical Therapy | |
|
1800 Flandro Dr Ste 190 Pocatello ID 83202-4940 | |
| (208) 233-2248 | |
| Not Available |
| Full Name | Superior Physical Therapy |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1800 Flandro Dr Ste 190, Pocatello, Idaho |
| Authorized Official Name and Position | Bart W Mcdonald (OWNER) |
| Authorized Official Contact | 2082332248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Physical Therapy 723 Redman St Pocatello ID 83202-2673 Ph: (208) 233-2248 | Superior Physical Therapy 1800 Flandro Dr Ste 190 Pocatello ID 83202-4940 Ph: (208) 233-2248 |
| NPI Number | 1013423482 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013423482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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