Jody Alison Thatcher Bullard (NPI# 1881759645, PAC ID# 6406825652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1881759645 |
| PAC ID by PECOS | 6406825652 |
| Professional Enrollment ID | I20040929001048 |
| Full Name | Jody Alison Thatcher Bullard |
| Organization Legal Name | PHYSICAL THERAPY AT THRIVE, LLC |
| Address |
2302 N Bogus Basin Rd Suite C Boise ID 83702-1024 |
| Phone Number | 2083440737 |
| Gender | F |
| Credential | PT |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486705217 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 | 2083440737 | PHYSICAL THERAPY AT THRIVE, LLC |
| Organization Legal Name | PHYSICAL THERAPY AT THRIVE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Street Address |
2302 N BOGUS BASIN RD SUITE C |
| City | BOISE |
| State | ID |
| Zip | 83702-1024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Coire C Weathers | Psychiatry | 1919 W State St, Boise, ID 83702-3958 | |
| Christian A Vanderford | Physical Therapy | 1625 W State St, Suite 100, Boise, ID 83702-4003 | |
| Jessica A Briggs | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 1520 W State St, Suite 100, Boise, ID 83702-4084 |
| Amy M Ambrosier | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 1520 W State St, Suite 100, Boise, ID 83702-4084 |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOISE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jody Alison Thatcher Bullard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.