Organization
LAKELAND PHYSICAL THERAPY AND SPORTS INJURIES P A
Active
Organization
LAKELAND PHYSICAL THERAPY AND SPORTS INJURIES P A
Active
Other names
North Idaho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SKY R PRUITT PT (PHYSICAL THERAPIST/OWNER)
(208) 687-9195
Entity
Organization
Contact information
Practice address
16658 N HIGHWAY 41, RATHDRUM, ID 83858-6890
(208) 687-9195
(844) 955-2492
Mailing address
16658 N HIGHWAY 41, RATHDRUM, ID 83858-6890
(208) 687-9195
(844) 955-2492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002803500
—
ID
05
—
2803500
—
ID
Enumeration date
12/05/2007
Last updated
04/30/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up