Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Bound Physical Therapy PLLC

Organization Physical Therapist · NPI 1104511252

Lake Bound Physical Therapy PLLC is a Physical Therapist in Coeur D Alene, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3654 W Calzado Dr
Coeur D Alene, ID 83815-5091
Phone: (509) 553-9061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104511252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelie Golden — Owner · (509) 553-9061
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address3654 W Calzado Dr, Coeur D Alene, ID 83815-5091

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