Organization Name: | STREUBEL THERAPY SERVICES |
NPI Number: | 1992932263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN STREUBEL (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 18 North Main Suite 215 Driggs |
State: | ID US |
Postal Code: | 834225292 |
Phone Number: | 2083541999 |
Fax Number: | 2083541999 |
NPI Enumeration Date: | 06/15/2009 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT-937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |