OrganizationActive
Health Sport LLC
NPI 1578337044 · Sports Physical Therapist · Coeur D Alene, ID
Provider details
- NPI number
- 1578337044
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Wendy Panos, Owner(208) 215-2030
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668
Phone: (208) 215-2030
Approximate (ZIP-level) locationGet directions
Mailing address
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668
Registry dates
- Enumerated
- 2023-11-14
- Last updated
- 2023-11-14
- Certified
- 2023-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.