# MOUNTAIN VIEW PHYSIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760263883
- **Authorized official:** DR. NEILLY BUCKALEW MD (PHYSICIAN/CO-OWNER)
- **Authorized official phone:** (208) 777-5511

## Contact information

- **Practice address:** 1138 E POLELINE AVE, POST FALLS, ID 83854-6150
- **Practice address phone:** (208) 777-5511
- **Practice address fax:** (724) 426-8936
- **Mailing address:** 1869 E SELTICE WAY \# 531, POST FALLS, ID 83854-7019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2023
- **Last updated:** 12/18/2023