Organization
BOULDER MOUNTAIN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MORGAN P.T. (PRESIDENT)
(208) 788-0061
Entity
Organization
Contact information
Practice address
507 S MAIN ST, HAILEY, ID 83333-8428
(208) 788-0061
Mailing address
PO BOX 1191, HAILEY, ID 83333-1191
(208) 788-0061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT- 647
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136534
BLUE SHIELD
ID
01
—
T9685
BLUE CROSS
ID
Enumeration date
05/13/2007
Last updated
08/22/2020
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