Individual
MRS. GAYLE BONZER-FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 HIGHWAY 55, SUITE A, HORSESHOE BEND, ID 83629-9015
(208) 793-3333
(208) 793-6333
Mailing address
PO BOX 205, HORSESHOE BEND, ID 83629-0205
(208) 793-3333
(208) 793-3666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-081
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008652
BLUE SHIELD
ID
05
—
804131800
—
ID
01
—
T0239
BLUE CROSS OF IDAHO
ID
Enumeration date
08/30/2005
Last updated
07/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us