DYNAMIC PHYSICAL THERAPY PLLC; NPI #1619360245

Contact Information

DYNAMIC PHYSICAL THERAPY PLLC

1023 21ST ST
LEWISTON, ID 83501-3415

Phone: 208-743-1795
Fax: 208-743-1791
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for DYNAMIC PHYSICAL THERAPY PLLC

NPI # 1619360245

LBN Legal business name DYNAMIC PHYSICAL THERAPY PLLC

Authorized official JOHANNA STREHLE - (PHYSICAL THERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/06/2015

Last updated 12/21/2020 - About 5 years ago

Identifiers

License #

PT-1861

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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