Organization
POWER BASIN THERAPY LLC
Active
Organization
POWER BASIN THERAPY LLC
Active
Other names
HEALING HEARTS HOME HEALTH OUTPATIENT THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
1675 E RIVERSIDE DR STE 200, EAGLE, ID 83616-7473
(208) 207-2726
Mailing address
101 W. CROOK STREET, MORECROFT, WY 82721
(307) 756-9200
(307) 756-9203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/12/2025
Last updated
11/14/2025
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