Organization
PRO ORTHO PHYSICAL THERAPY PLLC
Active
Other names
Adavanced Performance Physical Therapy Associates, Advanced Performance Physical Theraphy Associates PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LANCE MARSHALL DPT (OWNER)
(208) 478-6780
Entity
Organization
Contact information
Practice address
2240 E CENTER ST, POCATELLO, ID 83201-2600
(208) 478-6780
(208) 478-0194
Mailing address
2240 E CENTER ST, POCATELLO, ID 83201-2600
(208) 478-6780
(208) 478-0194
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1003
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194241380
—
ID
Enumeration date
08/18/2017
Last updated
01/25/2018
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