Organization
GEM REHABILITATION SERVICES, INC.
Active
Organization
GEM REHABILITATION SERVICES, INC.
Active
Other names
Payette River Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAYLE FRY (OFFICE MANAGER)
(208) 793-3333
Entity
Organization
Contact information
Practice address
400 HIGHWAY 55 STE A, SUITE B, HORSESHOE BEND, ID 83629-9016
(208) 793-3333
(208) 793-6333
Mailing address
PO BOX 205, HORSESHOE BEND, ID 83629-0205
(208) 793-3333
(208) 621-0234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007267
BLUE SHIELD OF IDAHO GROU
ID
05
—
002636700
—
ID
01
—
124160
WASH. STATE DEPT OF LABOR
ID
01
—
185456700
US DEPT OF LABOR
ID
01
—
8B305
BLUE CROSS OF IDAHO GROUP
ID
Enumeration date
03/06/2007
Last updated
06/10/2013
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