Blaine Hawkes
Blaine Hawkes is a Physical Therapist in Private Practice in Shoshone, Idaho. Qualified in 2012, 14 years ago. Practices with Recover Physical Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 14
- Licensed in
- UT
- In the registry since
- 2012
Practice location Address checks out
50 S Highway 93Shoshone, ID 83352-5337
Phone: (801) 942-3311
Fax: (801) 495-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 8394301-8016 (UT) |
|---|
Record details
| NPI number | 1700135340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | October 2, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Recover Physical Therapy Pllc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shoshone
-
MS. Martha Mary Clements, PT
511 E 4th St, Shoshone, ID 83352-5380 · (208) 886-2549