Organization
ELITE SPORTS AND ORTHOPEDIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BISHOP DPT (CEO)
(208) 969-1554
Entity
Organization
Contact information
Practice address
3896 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 969-1554
(208) 475-7708
Mailing address
3896 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 666-6665
(208) 475-7708
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
05/25/2023
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