Lake City Physical Therapy P a

NPI #1952521411 in Hayden, Idaho

Provider Information

NPI Number: 1952521411
Entity Type: Organization
Organization Name: Lake City Physical Therapy P a
Primary Specialty: Physical Therapist
Enumeration Date: Apr 26, 2007
Last Updated: Jul 22, 2025

Practice Location

Address: 8238 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-5034
Phone: (208) 762-2100

Authorized Official

Name: SHEREE LYNN DIBIASE
Title: OWNER
Phone: (208) 667-1988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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