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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