| Organization Name: | CANFIELD PHYSICAL THERAPY |
| NPI Number: | 1346531969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI-ANN BLUEMER-TIERNEY (PRESIDENT) |
| Mailing Address: | 402 W Canfield Ave Ste 5 Coeur D Alene |
| State: | ID US |
| Postal Code: | 838157784 |
| Phone Number: | 2086590750 |
| Fax Number: | 2087720246 |
| NPI Enumeration Date: | 04/30/2011 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |