Canfield PT PLLC

Organization Active NPI Physical Therapist · Coeur D Alene, ID

NPI 1689142192 · NPPES record last updated Nov 2, 2018

Key facts

NPI
1689142192
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CANFIELD PT PLLC
Practice address
402 W Canfield Ave Ste 5
Coeur D Alene, ID 83815-7784
Phone
(208) 755-3960
NPI assigned
Nov 2, 2018
Organization subpart
No

Authorized official

Name
Mrs. Lori-Ann Tierney, PT
Title
Owner/PT
Phone
(208) 755-3960

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

402 W Canfield Ave Ste 5
Coeur D Alene, ID 83815-7784

Mailing address

PO Box 3138
Hayden, ID 83835-3138
Phone (208) 755-3960

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.