Provider Demographics
NPI:1215905468
Name:TOEWS, NORMAN L (PT)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:L
Last Name:TOEWS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:N
Other - Middle Name:LARRY
Other - Last Name:TOEWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:610 HUBBARD AVE
Mailing Address - Street 2:STE 122
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-667-3583
Mailing Address - Fax:208-667-2643
Practice Address - Street 1:610 W HUBBARD ST
Practice Address - Street 2:STE 122
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2285
Practice Address - Country:US
Practice Address - Phone:208-667-3583
Practice Address - Fax:208-667-2643
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT 103225100000X
WAPT 00002784225100000X
MI5501000724225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010007773OtherREGENCE BLUE SHIELD OF ID
IDT1468OtherBLUE CROSS OF IDAHO
ID804067500Medicaid
IDT1468OtherBLUE CROSS OF IDAHO