Lindsey E Decloss
NICHOLS THERAPY GROUP P.C.


Address: 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858
Phone: 2082860766

Lindsey E Decloss (NPI# 1194822528, PAC ID# 6608875208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1194822528
PAC ID by PECOS 6608875208
Professional Enrollment ID I20150309000815
Full Name Lindsey E Decloss
Organization Legal Name NICHOLS THERAPY GROUP P.C.
Address 9652 W State St
Northstar Physical Therapy
Star
ID 83669-5858
Phone Number 2082860766
Gender F
Graduation Year 2005
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 0345229068
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858 2082860766 NICHOLS THERAPY GROUP P.C.

Organization Information

Organization Legal Name NICHOLS THERAPY GROUP P.C.
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Judianne K Nichols Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858
Brian M Holgate Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858
Brian D Nichols Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858

Office Location

Street Address 9652 W STATE ST
NORTHSTAR PHYSICAL THERAPY
City STAR
State ID
Zip 83669-5858

Physicians in the same location

Name Specialty Organization Address
Judianne K Nichols Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858
Brian M Holgate Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858
Brian D Nichols Physical Therapy Nichols Therapy Group P.C. 9652 W State St, Northstar Physical Therapy, Star, ID 83669-5858

Physicians in the same zip code

Name Specialty Organization Address
Beverlee K Furner Nurse Practitioner 9858 W State St, Star, ID 83669-5210
Jonathan S Link Physical Therapy Boise River Physical Therapy 64 S Star Rd, Star, ID 83669-5497

Competitor

Search similar physicians

City STAR
Zip Code 83669
Specialty PHYSICAL THERAPY
City + Specialty STAR + PHYSICAL THERAPY

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Dataset Information

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.

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