Organization
CARIBOU PHYSICAL THERAPY P.C.
Active
Other names
Caribou Orthopedic & Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA AMY LUND PT (PRESIDENT/OWNER/PROVIDER)
(208) 265-8333
Entity
Organization
Contact information
Practice address
47390 HIGHWAY 200, HOPE, ID 83836-9647
(208) 265-8333
(208) 263-1394
Mailing address
22 ROUNDHOUSE CIR, SANDPOINT, ID 83864-8674
(208) 265-8333
(208) 263-1394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225100000X
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010023365
BLUE SHIELD
ID
01
—
12083282
CAQH
ID
05
—
804274300
—
ID
01
—
TD780
BLUE CROSS
—
Enumeration date
08/13/2008
Last updated
05/27/2025
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