Individual
DR. LEO E ROBERTSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
134 S STATE ST, PRESTON, ID 83263
(208) 852-4122
(208) 852-7187
Mailing address
44 N 1ST E, PRESTON, ID 83263-1326
(208) 852-4122
(208) 852-7187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2026
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346465887
—
ID
05
—
D5960
—
UT
01
—
PT-2026
PHYSICAL THERAPY LICENSE
ID
Enumeration date
04/17/2007
Last updated
07/05/2018
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