Wild Rose Physio Pllc

LBN: Wild Rose Physio Pllc
Wild Rose Physio Pllc is an health care organization with primary practice located at 325 W Palouse River Dr , Moscow ID 83843-8956. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Wild Rose Physio Pllc can be contacted via phone (208) 689-6044, or through Jentges, Lauren via phone (206) 948-7475.

Contact Information

Primary practice address
325 W Palouse River Dr Moscow ID 83843-8956
Phone: (208) 689-6044
Fax: (208) 242-4018
Website:
Map and Directions
Authorized official contact:
Name: Jentges, Lauren PT, DPT
Phone: (206) 948-7475

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1154162113
LBN Legal business name Wild Rose Physio Pllc
DBA Doing business as
Authorized official Jentges, Lauren PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2024
Last updated Jun 4th, 2024 - 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.

Request for update

Popular Providers