Performance Physical Therapy Of Idaho

LBN: Mrc Llc
Performance Physical Therapy Of Idaho is an health care organization with primary practice located at 450 W State St Ste 270 , Eagle ID 83616-6974. 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. Mrc Llc can be contacted via phone (925) 856-7007, or through Candau, Matthew via phone (925) 856-7007.

Contact Information

Primary practice address
450 W State St Ste 270 Eagle ID 83616-6974
Phone: (925) 856-7007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Candau, Matthew PT, DPT, MTC
Phone: (925) 856-7007

Health care specialties

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

Profile Details

NPI number 1295234367
LBN Legal business name Mrc Llc
DBA Doing business as Performance Physical Therapy Of Idaho
Authorized official Candau, Matthew PT, DPT, MTC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2018
Last updated Feb 27th, 2023 - about 2 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.

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