Tifani J Waechtler
PRESTON PHYSICAL THERAPY LLC


Address: 10 S 100, Suite A, Preston, ID 83263-1244
Phone: 2088521990

Tifani J Waechtler (NPI# 1144313610, PAC ID# 0840215604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1144313610
PAC ID by PECOS 0840215604
Professional Enrollment ID I20051011000357
Full Name Tifani J Waechtler
Organization Legal Name PRESTON PHYSICAL THERAPY LLC
Address 10 S 100
Suite A
Preston
ID 83263-1244
Phone Number 2088521990
Gender F
Credential PT
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 0345389490
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
10 S 100, Suite A, Preston, ID 83263-1244 2088521990 PRESTON PHYSICAL THERAPY LLC

Organization Information

Organization Legal Name PRESTON PHYSICAL THERAPY LLC
Physicians 1

Office Location

Street Address 10 S 100
SUITE A
City PRESTON
State ID
Zip 83263-1244

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Douglas Scott Fellows Chiropractic 8 S State St, Preston, ID 83263-1243
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Competitor

Search similar physicians

City PRESTON
Zip Code 83263
Specialty PHYSICAL THERAPY
City + Specialty PRESTON + 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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