Northwest Therapy Services, Inc.

Organization Active NPI Oxygen Equipment & Supplies (DME) · American Falls, ID

NPI 1811051683 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1811051683
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
License
DME188 (ID)
Legal business name
NORTHWEST THERAPY SERVICES, INC.
Practice address
3129 Willow Street
American Falls, ID 83211
Phone
(208) 226-2410
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

Name
Mr. Wayne A. Thomas, LRT
Title
President
Phone
(208) 226-2410

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X DME188 ID Yes

Addresses

Primary practice location

3129 Willow Street
American Falls, ID 83211

Mailing address

PO Box 227
American Falls, ID 83211-0227
Phone (208) 226-2410

Other identifiers

IdentifierTypeStateIssuer
0025746MedicaidID

Other providers in American Falls, ID

All providers in American Falls, ID · Oxygen Equipment & Supplies (DME) in Idaho

Sources for this page

Verify at the official NPI Registry.