NPI age
19 years
Enumerated 2006-11-22
● Active Type 2 · Organization
Subpart
Lakewood Physical Therapy Llc
Lakewood Physical Therapy Llc is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Koelsch
Executive Director
Last NPPES update
2009-10-16
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1401 Lincoln Way
Coeur D Alene, ID 838142334
Mailing address
700 W Ironwood Dr, Suite 272e
Coeur D Alene, ID 838142656
Authorized official
Eric Koelsch
Executive Director
📞 2086760145
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jeremy Andres, PT Physical Therapist NPI 1912951559
- Keith Kirscher, PT Physical Therapist NPI 1831142173
- Jennifer Malloy, P.T. Physical Therapist NPI 1144274598
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CG9013 | RAILROAD MEDICARE |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of North Idaho Family Physicians.
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