Organization
SCOTT RANDKLEV PHYSICAL THERAPY P.A.
Active
Other names
Lifestyle Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RANDKLEV DPT (PRESIDENT)
(208) 431-0268
Entity
Organization
Contact information
Practice address
370 E KATHLEEN AVE STE 500, COEUR D ALENE, ID 83815-5238
(208) 292-1372
(208) 292-1374
Mailing address
1296 S FAIRMONT LOOP, COEUR D ALENE, ID 83814-8932
(208) 431-0268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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