Power Basin Therapy LLC
Physical Therapist in Eagle, ID. Organization (NPI-2).
NPI number1982580452
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1982580452
- Entity type
- Organization (NPI-2)
- Legal business name
- Power Basin Therapy LLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2025
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – |
Other names
- Healing Hearts Home Health Outpatient Therapy (Doing Business As)
Practice location
1675 E Riverside Dr Ste 200Eagle, ID 83616-7473
Phone 208-207-2726
Mailing address
101 W. Crook StreetMorecroft, WY 82721
Phone 307-756-9200 · Fax 307-756-9203
Authorized official
Amber Tueller
Secretary
2082072726
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