Organization
MCDONALD REHAB, PC
Active
Parent organization
MCDONALD REHAB, PC
Other names
Superior Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCDONALD REHAB, PC
Authorized official
MR. BART W MCDONALD MPT (OWNER)
(208) 233-2248
Entity
Organization
Contact information
Practice address
3345 POTOMAC WAY STE B, IDAHO FALLS, ID 83404-4978
(208) 417-0090
(208) 417-0092
Mailing address
1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
(208) 233-2248
(208) 233-0219
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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