Evan Anne Gustavsen
PHYSICAL THERAPY 180 LLC


Address: 3919 E Overland Rd, Meridian, ID 83642-6710
Phone: 2083437700

Evan Anne Gustavsen (NPI# 1932754496, PAC ID# 8527397918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1932754496
PAC ID by PECOS 8527397918
Professional Enrollment ID I20190910003291
Full Name Evan Anne Gustavsen
Organization Legal Name PHYSICAL THERAPY 180 LLC
Address 3919 E Overland Rd
Meridian
ID 83642-6710
Phone Number 2083437700
Gender F
Graduation Year 2019
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 9830422955
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5909 W State St, Boise, ID 83703-3039 2083437700 PHYSICAL THERAPY 180 LLC
3919 E Overland Rd, Meridian, ID 83642-6710 2083437700 PHYSICAL THERAPY 180 LLC

Organization Information

Organization Legal Name PHYSICAL THERAPY 180 LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Sebastian Thomas Saur Physical Therapy Physical Therapy 180 LLC 5909 W State St, Boise, ID 83703-3039
Shelley Patricia Thomas Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Julia E Thompson Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Esther Winn Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Jeremy T Pettinger Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Paula A Kosberg Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710

Office Location

Street Address 3919 E OVERLAND RD
City MERIDIAN
State ID
Zip 83642-6710

Physicians in the same location

Name Specialty Organization Address
Shelley Patricia Thomas Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Julia E Thompson Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Esther Winn Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Jeremy T Pettinger Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Paula A Kosberg Physical Therapy Physical Therapy 180 LLC 3919 E Overland Rd, Meridian, ID 83642-6710
Amica Vogler Physical Therapy Jill Thompson Physical Therapy Pa 3919 E Overland Rd, Meridian, ID 83642-6710
Jennifer R Thomsen Physical Therapy Jill Thompson Physical Therapy Pa 3919 E Overland Rd, Meridian, ID 83642-6710

Physicians in the same zip code

Name Specialty Organization Address
Kurt Slonaker Chiropractic 3329 W Cherry Ln, Meridian, ID 83642-1119
Katy F Connley Nurse Practitioner Saint Alphonsus Regional Medical Center Inc 3250 W Cherry Ln, Meridian, ID 83642-1120
Diana Menchaca Psychologist, Clinical 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504
Virginia P Haviland Psychologist, Clinical 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504
Cheri Thomas Nurse Practitioner Alliance Medical Group LLC 3115 E Florence, Meridian, ID 83642-1586
Angela L Hansen Clinical Social Worker 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610
Matthew L Jordan Nurse Practitioner Vibra Physicians LLC 2131 S Bonito Way, Meridian, ID 83642-1659
Dan J Hendrickson Pulmonary Disease Vibra Physicians LLC 2131 S Bonito Way, Meridian, ID 83642-1659
Huiling Qi Internal Medicine Vibra Physicians LLC 2131 S Bonito Way, Meridian, ID 83642-1659
Robert E Shumaker Physician Assistant Vibra Physicians LLC 2131 S Bonito Way, Meridian, ID 83642-1659
Find all physicians in zip 83642

Competitor

Search similar physicians

City MERIDIAN
Zip Code 83642
Specialty PHYSICAL THERAPY
City + Specialty MERIDIAN + PHYSICAL THERAPY

Improve Information

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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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