Individual
MR. CALEB RUSSELL HIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7600 N MINERAL DR STE 500, COEUR D ALENE, ID 83815-9425
(208) 457-4208
(208) 457-4197
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7615
ID
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
PT-7615
ID
Other
Enumeration date
08/26/2021
Last updated
11/04/2021
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