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Mrs. Ellison Renee Sanders, PT
Pediatric Physical Therapist in Coeur D Alene, Idaho
NPI 1720276850

Ellison Renee Sanders is a Pediatric Physical Therapist based in Coeur D Alene, ID and is specialized in Pediatrics. Ellison Renee Sanders practices in Coeur D Alene, ID and has the professional credentials of PT. The NPI Number for Ellison Renee Sanders is 1720276850 and holds a License No. PT-2061 (Idaho).

The current practice location address for Ellison Renee Sanders is 411 W Haycraft Ave, Coeur D Alene, ID and can be reached out via phone at 208-664-2468 and via fax at 208-667-6239.

Location: 411 W Haycraft Ave, Coeur D Alene, ID, 83815-8105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720276850
Provider Name
Ellison Renee Sanders
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
411 W Haycraft Ave, Coeur D Alene, ID, 83815-8105
Phone Number
208-664-2468
Fax Number
208-667-6239
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TD688 01 BLUE CROSS OF IDAHO
000010164610 01 REGENCE BLUE SHIELD
807908300 05 ID
institution
Provider Business Practice Location Address Details
Address
411 W Haycraft Ave
City
Coeur D Alene
State
Idaho
Zip
83815-8105
Phone Number
208-664-2468
Fax Number
208-667-6239
person
Provider Business Mailing Address Details
Address
411 W Haycraft Ave
City
Coeur D Alene
State
Idaho
Zip
83815-8105
Phone Number
208-664-2468
Fax Number
208-667-6239
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT-2061 (Idaho)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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