Lake City Physical Therapy P A

LBN: Lake City Physical Therapy P A
Lake City Physical Therapy P A is an health care organization with primary practice located at 2170 W Ironwood Center Dr , Coeur D Alene ID 83814-2606. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Lake City Physical Therapy P A can be contacted via phone (208) 667-1988, or through Dibiase, Sheree Lynn via phone (208) 667-1988.

Contact Information

Primary practice address
2170 W Ironwood Center Dr Coeur D Alene ID 83814-2606
Phone: (208) 667-1988
Fax: (208) 765-5654
Website:
Map and Directions
Authorized official contact:
Name: Dibiase, Sheree Lynn
Phone: (208) 667-1988

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT629 Idaho

Profile Details

NPI number 1952521411
LBN Legal business name Lake City Physical Therapy P A
DBA Doing business as
Authorized official Dibiase, Sheree Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 13th, 2021 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952521411 NPPES
Idaho MEDICAID 002793000

Popular Providers