208 Physical Therapy Llc

LBN: 208 Physical Therapy Llc
208 Physical Therapy Llc is an health care organization with primary practice located at 1120 Stocks Ave Ste C , Rexburg ID 83440-3590. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as the primary health care specialty. 208 Physical Therapy Llc can be contacted via phone (208) 261-2123, or through Nelson, Tyrel via phone (208) 201-0365.

Contact Information

Primary practice address
1120 Stocks Ave Ste C Rexburg ID 83440-3590
Phone: (208) 261-2123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Tyrel PT, DPT
Phone: (208) 201-0365

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1851016356
LBN Legal business name 208 Physical Therapy Llc
DBA Doing business as
Authorized official Nelson, Tyrel PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2022
Last updated Feb 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851016356 NPPES
Idaho Other 1477045581 MEDICARE

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