Physical Therapy And Sports Medicine Clinic Inc

LBN: Physical Therapy And Sports Medicine Clinic Inc
Physical Therapy And Sports Medicine Clinic Inc is an health care organization with primary practice located at 4102 E 82 N , Rigby ID 83442-5894. 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 And Sports Medicine Clinic Inc can be contacted via phone (208) 745-8580, or through Jenkins, Laura B via phone (208) 745-8580.

Contact Information

Primary practice address
4102 E 82 N Rigby ID 83442-5894
Phone: (208) 745-8580
Fax: (208) 745-8580
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Laura B
Phone: (208) 745-8580

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X T 236 Idaho

Profile Details

NPI number 1568645554
LBN Legal business name Physical Therapy And Sports Medicine Clinic Inc
DBA Doing business as
Authorized official Jenkins, Laura B
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Sep 15th, 2008 - about 17 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 1568645554 NPPES
Idaho MEDICAID 002591700
Idaho MEDICAID 806469200

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