Provider Demographics
NPI:1609196062
Name:WORLD IS ROUND PLLC
Entity Type:Organization
Organization Name:WORLD IS ROUND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUST
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:208-265-0610
Mailing Address - Street 1:302 S 1ST AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1259
Mailing Address - Country:US
Mailing Address - Phone:208-265-0610
Mailing Address - Fax:208-265-9192
Practice Address - Street 1:302 S 1ST AVE STE C
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1259
Practice Address - Country:US
Practice Address - Phone:208-265-0610
Practice Address - Fax:208-265-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDRPT-1097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty