CANDICE CHESSUM


Address: 1109 W Myrtle St, Boise, ID 83702-6970
Phone: 2084894331

CANDICE CHESSUM (NPI# 1194193334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194193334
Entity Type Individual
Full Name CANDICE CHESSUM
Practice Address 1109 W Myrtle St
Boise
ID 83702-6970
Mailing Address 323 W Village Ln
Boise
ID 83702-6225
Practice Telephone 2084894331
Mailing Telephone 8185901559
Enumeration Date 2015-09-04
Last Update Date 2015-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT-4201 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1109 W MYRTLE ST
City BOISE
State ID
Zip Code 83702-6970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477581122 Kurt J Nilsson Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-06-30
1801249545 Zachary Braddock Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2016-07-18
1083015929 Julia Hassell Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2014-09-10
1982940011 Lucas Bahnmaier Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2012-12-18
1831475284 Timothy Steven Nicolello Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-31
1992089858 Joel Eric Vander Lugt Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-10
1639372709 Forrest Q Pecha Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2007-06-07
1518978337 Alejandro A Homaechevarria Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-08-10
1780694182 Erik J Heggland Orthopaedic Surgery 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205307485 Scoliosis Treatment Center of Idaho Physical Therapist 2157 S Pebblecreek Ln, Boise, ID 83706-6123 2018-12-16
1437210853 Judith Lee Grucella Physical Therapist 4477 Emerald St Ste C125, Boise, ID 83706-2058 2006-12-12
1689770711 Pro Motion Physical Therapy LLC Physical Therapist 1101 N 28th St, Boise, ID 83702-2208 2006-09-16
1184720211 Pro Motion Physical Therapy LLC Physical Therapist 3040 N Five Mile Rd, Boise, ID 83713-5234 2006-09-16
1447256086 Jay Armstrong Physical Therapist 1188 W University Dr, Boise, ID 83706-3009 2005-06-27
1528620853 Dana Van Wyck Physical Therapist 4776 N Five Mile Rd, Boise, ID 83713-2715 2019-07-08
1003477274 Bridget Gilbertson Physical Therapist 703 S Americana Blvd Ste 130, Boise, ID 83702-6754 2019-06-27
1346731718 Kaitlyn Marie Brown Physical Therapist 1188 W University Dr, Boise, ID 83706-3009 2018-05-22
1497143507 Precision Performance and Therapy Physical Therapist 8950 W Emerald St, Ste 150, Boise, ID 83704-4854 2014-12-26
1407287477 Scott Billing Physical Therapist 703 Americana Blvd, Ste 130, Boise, ID 83702 2013-12-02
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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