Spine And Sport Pysical Therapy Pc
LBN: Spine And Sport Pysical Therapy Pc
Spine And Sport Pysical Therapy Pc is an health care organization with primary practice located at 217 N 2Nd East , Rexburg ID 83440-1621. 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.
Spine And Sport Pysical Therapy Pc can be contacted via phone (208) 359-6127, or through Rawlings, Jody Boyd via phone (208) 359-6127.
Contact Information
Primary practice address
217 N 2Nd East
Rexburg ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-9479
Website:
Authorized official contact:
Name: Rawlings, Jody Boyd Physical Therapist (PT)
Phone: (208) 359-6127
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1346 | Idaho |
Profile Details
| NPI number | 1992975825 |
|---|---|
| LBN Legal business name | Spine And Sport Pysical Therapy Pc |
| DBA Doing business as | |
| Authorized official | Rawlings, Jody Boyd Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2008 |
| Last updated | Mar 12th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992975825 | NPPES |
| Other | 650015362 | RAILROAD MEDICARE | |
| Other | 000010020600 | RAILROAD MEDICARE | |
| MEDICAID | 1210564 | RAILROAD MEDICARE | |
| Other | T3860 | RAILROAD MEDICARE | |
| Other | 185556100 | RAILROAD MEDICARE | |
| MEDICAID | 805399800 | RAILROAD MEDICARE |
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