Organization
HAILEY PHYSCIAL THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HOGAN PT (OWNER/ PHYSICAL THERAPIST)
(208) 481-0275
Entity
Organization
Contact information
Practice address
21 EAST MAPLE STREET, SUITE D, HAILEY, ID 83333
(208) 481-0275
(208) 578-7757
Mailing address
PO BOX 3113, HAILEY, ID 83333-3113
(208) 481-0275
(208) 578-7757
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
651
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807318900
—
ID
Enumeration date
08/26/2006
Last updated
10/04/2011
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