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Organization

PHYSICAL THERAPY CENTER OF POST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD BILLINGTON PT (OWNER)
(208) 777-8851
Entity
Organization

Contact information

Practice address
185 W 4TH AVE, STE C, POST FALLS, ID 83854-4978
(208) 777-8851
(208) 777-8851
Mailing address
185 W 4TH AVE STE C, POST FALLS, ID 83854-4979
(208) 777-8851
(208) 777-8851

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT266
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010136816
BLUE SHIELD
ID
05
002772100
ID
01
T9883
BLUE CROSS
ID
Enumeration date
11/29/2006
Last updated
02/13/2014
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