Charla-jo Olorenshaw Spradlin, PT in Athol, ID - Physical Therapist

Charla-jo Olorenshaw Spradlin, PT is a Physical Therapist based in Athol, Idaho. Charla-jo Olorenshaw Spradlin is licensed to practice in Idaho (license number PT-425) and her current practice location is 26453 N Old Highway 95, Athol, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 597-4595.

NPI number for Charla-jo Olorenshaw Spradlin is 1720390347 and her current mailing address is 26453 N Old Highway 95, Athol, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720390347.

Contact Information

	Charla-jo Olorenshaw Spradlin, PT
	26453 N Old Highway 95, Athol, ID 83801-7076
	(208) 597-4595
	Not Available

Healthcare Provider's Profile

Full Name	Charla-jo Olorenshaw Spradlin
Gender	Female
Speciality	Physical Therapist
Location	26453 N Old Highway 95, Athol, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1720390347
Provider Enumeration Date: 07/12/2010
Last Update Date: 01/23/2019

Medical Identifiers

Medical identifiers for Charla-jo Olorenshaw Spradlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720390347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-425 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charla-jo Olorenshaw Spradlin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charla-jo Olorenshaw Spradlin, PT 26453 N Old Highway 95, Athol, ID 83801-7076 Ph: (208) 597-4595	Charla-jo Olorenshaw Spradlin, PT 26453 N Old Highway 95, Athol, ID 83801-7076 Ph: (208) 597-4595

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Charla-jo Olorenshaw Spradlin, PT - Physical Therapist in Athol, ID