Peppley, Anthony Todd

Peppley, Anthony Todd is an individual health care provider with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Peppley, Anthony Todd can be contacted via phone (208) 939-3332.

Contact Information

Primary practice address
457 S Fitness Pl Suite 100 Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1520 Idaho

Profile Details

NPI number 1144335860
LBN Legal business name Peppley, Anthony Todd
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Feb 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144335860 NPPES
Idaho Other 000010028601 BLUE SHIELD
Idaho Other T4363 BLUE SHIELD
Idaho MEDICAID 806054500 BLUE SHIELD
Idaho Other 11347663 BLUE SHIELD
Idaho Other T4363 BLUE SHIELD
Idaho Other P00165209 BLUE SHIELD

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