Provider Demographics
NPI:1710203344
Name:HABIG, DEBBIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:HABIG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6864
Mailing Address - Country:US
Mailing Address - Phone:208-367-5400
Mailing Address - Fax:
Practice Address - Street 1:323 E RIVERSIDE DR STE 124
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6824
Practice Address - Country:US
Practice Address - Phone:208-367-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-2419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist