MEDICARE: BRYAN D HUNTSMAN M.S., P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	PT-457	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000010025914	OTHER	ID	BLUE SHIELD OF IDAHO ID#
3	82-0510764	OTHER	ID	TAX ID#
4	T-144-3	OTHER	ID	BLUE CROSS OF IDAHO ID#

General Provider Information

NPI Number	:	1851446561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN D HUNTSMAN M.S., P.T.

Provider Business Mailing Address
First Line	:	2570 CHANNING WAY
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7515
Country	:	US
Telephone Number	:	208-529-8005
Fax Number	:	208-529-0251

Provider Business Practice Location Address
First Line	:	2570 CHANNING WAY
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7515
Country	:	US
Telephone Number	:	208-529-8005
Fax Number	:	208-529-0251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/04/2010

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1669839395 — EDEN HOSPICE AT IDAHO FALLS, LLC
Practice Location Address:

2540 CHANNING WAY
IDAHO FALLS, ID
83404-7515

Practice Phone: 208-523-1980
Practice Fax:

1093860710 — BRENDA M FRITZ MPT
Practice Location Address:

2570 CHANNING WAY
IDAHO FALLS, ID
83404-7515

Practice Phone: 208-529-8005
Practice Fax: 208-529-0251

1679628457 — LYNN H WOODLAND M.S. P.T.
Practice Location Address:

2570 CHANNING WAY
IDAHO FALLS, ID
83404-7515

Practice Phone: 208-529-8005
Practice Fax: 208-529-0251

1306064910 — CHANNING PHYSICAL THERAPY PC
Practice Location Address:

2570 CHANNING WAY
IDAHO FALLS, ID
83404-7515

Practice Phone: 208-529-8005
Practice Fax:

1720276371 — KEEN EYE FAMILY VISION PA
Practice Location Address:

2540 CHANNING WAY
IDAHO FALLS, ID
83404-7515

Practice Phone: 208-529-2700
Practice Fax: 208-529-0873

Directions to “ BRYAN D HUNTSMAN M.S., P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.