Physical Therapy Plus Of Idaho Pllc

LBN: Physical Therapy Plus Of Idaho Pllc
Physical Therapy Plus Of Idaho Pllc is an health care organization with primary practice located at 180 W 1St St #101, Ketchum ID 83340. 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. Physical Therapy Plus Of Idaho Pllc can be contacted via phone (208) 725-5185, or through Praeger, Sydney Lyn via phone (208) 725-5185.

Contact Information

Primary practice address
180 W 1St St #101 Ketchum ID 83340
Phone: (208) 725-5185
Fax: (208) 725-5192
Website:
Map and Directions
Authorized official contact:
Name: Praeger, Sydney Lyn Registered Physical Therapist (RPT)
Phone: (208) 725-5185

Health care specialties

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

Profile Details

NPI number 1801875604
LBN Legal business name Physical Therapy Plus Of Idaho Pllc
DBA Doing business as
Authorized official Praeger, Sydney Lyn Registered Physical Therapist (RPT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 28th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801875604 NPPES
Idaho Other HCFAT9511 BLUE CROSS
Idaho MEDICAID 805993300 BLUE CROSS
Idaho Other CB2679 BLUE CROSS

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