Individual
JOEL D TENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
2180 IRONWOOD CENTER DRIVE, COEUR D'ALENE, ID 83814-2639
(208) 667-6264
(208) 664-4313
Mailing address
2180 IRONWOOD CENTER DRIVE, COEUR D'ALENE, ID 83814-2639
(208) 667-6264
(208) 664-4313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2077
ID
225100000X
Physical Therapist
PT00009604
WA
2255A2300X
Athletic Trainer
AT-291
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7155104
—
WA
01
—
CG9010
RAILROAD MEDICARE
ID
Enumeration date
07/26/2005
Last updated
07/13/2010
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