Lake City Physical Therapy P A in Coeur D Alene - Physical Therapist
Lake City Physical Therapy P A - NPI 1952521411
Lake City Physical Therapy P A is a Physical Therapist in Coeur D Alene, Idaho. Lake City Physical Therapy P A practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lake City Physical Therapy P A is 1952521411. The last update date is 2021-10-13.
Lake City Physical Therapy P A's current location address is 2170 W Ironwood Center Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086671988 and fax number 2087655654. The mailing address for Lake City Physical Therapy P A is 2170 W Ironwood Center Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake City Physical Therapy P A |
|---|---|
| Address | 2170 W Ironwood Center Dr, Coeur D Alene, Idaho |
| Phone Number | 2086671988 |
| Fax Number | 2087655654 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dibiase Lynn Sheree |
| Telephone Number | 2086671988 |
NPI Number Detail
| NPI Number | 1952521411 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 2170 W Ironwood Center Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142606 |
| Phone Number | 2086671988 |
| Fax Number | 2087655654 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | RPT629 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2793000 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lake City Physical Therapy P A?
The Lake City Physical Therapy P A has been issued the NPI (National Provider Identifier) 1952521411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Lake City Physical Therapy P A is located?
The Lake City Physical Therapy P A is situated at the following address: 2170 W Ironwood Center Dr, Coeur D Alene, ID, 838142606.
What is the Lake City Physical Therapy P A's specialty and taxonomy code?
The Lake City Physical Therapy P A's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952521411 to Lake City Physical Therapy P A?
The Centers for Medicare & Medicaid Services originally issued the 1952521411 to Lake City Physical Therapy P A on 2007-04-26.
As of what date were the details pertaining to Lake City Physical Therapy P A last refreshed?
The information related to the Lake City Physical Therapy P A, including its address, specialty, and other relevant details, was last updated on 2021-10-13.