SUN VALLEY SPORTS REHABILITATION (NPI# 1639229115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639229115 |
| Entity Type | Organization |
| Organization Name | SUN VALLEY SPORTS REHABILITATION |
| Practice Address |
245 Raven Rd Ketchum ID 83340 |
| Mailing Address |
Po Box 2062 Ketchum ID 83340-2062 |
| Practice Telephone | 2087267246 |
| Practice Fax Number | 2087268911 |
| Mailing Telephone | 2087267246 |
| Mailing Fax Number | 2087268911 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | COLLEEN COYNE (PRESIDENT, OWNER) |
| Authorized Official Telephone | 2087267246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT-332 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
245 RAVEN RD |
| City | KETCHUM |
| State | ID |
| Zip Code | 83340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346698701 | Ieg Zenergy, LLC | Specialist | 245 Raven Rd, Suite B, Ketchum, ID 83340 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779606 | Rooted Womens Health | Occupational Therapist | 431 N Walnut Ave, Ketchum, ID 83340 | 2020-10-29 |
| 1841826252 | Pilar Settlemier Tumolo | Counselor | 220 River Street East, Ketchum, ID 83340 | 2020-03-17 |
| 1598390643 | Alyson Holmes Witmer | Counselor | 220 2nd Ave, Ste 201, Ketchum, ID 83340 | 2020-03-10 |
| 1952864506 | Mollie Parker Szybala | Naturopath | 128 Saddle Rd, Suite 103-c, Ketchum, ID 83340 | 2019-04-10 |
| 1740789353 | Courtney Loving | Counselor | 208 N. Spruce, Ketchum, ID 83340 | 2018-02-09 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
| 1265895775 | Innerhealth Md PC | Acupuncturist | 180 West 1st Street, Suite 206, Ketchum, ID 83340 | 2016-04-01 |
| 1487023503 | Tomomi Ikawa | Chiropractor | 131 4th St. E., Suite 310, Ketchum, ID 83340 | 2015-09-18 |
| 1790195766 | Maria Morris | Acupuncturist | 220 South 2nd Ave #101, Ketchum, ID 83340 | 2014-04-30 |
| Find all providers in zip 83340 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851581029 | Jennifer Rae Millington Sowers | Physical Therapist | 526 E Old Saybrook Dr, Boise, ID 83706-4983 | 2007-07-25 |
Please comment or provide details below to improve the information on SUN VALLEY SPORTS REHABILITATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.