Organization
RIVER CITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH ORTEGA (OFFICE MANAGER)
(208) 777-7800
Entity
Organization
Contact information
Practice address
1132 E POLSTON AVE, POST FALLS, ID 83854
(208) 777-7800
(208) 777-9209
Mailing address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010026849
REGENCE BLUE SHIELD
ID
05
—
1134149941
—
ID
01
—
185406300
OWCP
ID
01
—
350075001
GROUP HEALTH
ID
01
—
T9107
BLUE CROSS OF IDAHO
ID
Enumeration date
07/21/2006
Last updated
07/18/2018
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