Provider Demographics
NPI:1689178469
Name:TREASURE VALLEY PELVIC HEALTH, LLC
Entity Type:Organization
Organization Name:TREASURE VALLEY PELVIC HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:208-901-2964
Mailing Address - Street 1:775 S RIVERSHORE LN STE 220
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-5783
Mailing Address - Country:US
Mailing Address - Phone:208-629-1030
Mailing Address - Fax:208-346-7618
Practice Address - Street 1:775 S RIVERSHORE LN STE 220
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-5783
Practice Address - Country:US
Practice Address - Phone:208-629-1030
Practice Address - Fax:208-346-7618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty