MEDICARE: MRS. TERESSA LINDA DURHAM

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	376J00000X	Homemaker		ID

General Provider Information

NPI Number	:	1942368543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESSA LINDA DURHAM

Provider Business Mailing Address
First Line	:	11186 N HAUSER LAKE RD
Second Line	:
City	:	HAUSER
State	:	ID
Zip	:	83854-5638
Country	:	US
Telephone Number	:	208-457-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	11186 N HAUSER LAKE RD
Second Line	:
City	:	HAUSER
State	:	ID
Zip	:	83854-5638
Country	:	US
Telephone Number	:	208-457-1515
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1891792867 — MR. BRETT E. HANEY RPH, BCPP
Practice Location Address:

16788 W HOLLISTER HILLS DR
HAUSER, ID
83854-6588

Practice Phone: 208-773-2412
Practice Fax:

1982639878 — JENNIFER E. BUTLER PT
Practice Location Address:

9797 N GLEN HOLLOW LN
HAUSER, ID
83854-6159

Practice Phone: 208-771-3579
Practice Fax: 208-561-6194

1700944709 — CATHLEEN WESTON CPM,RN,LM
Practice Location Address:

16660 N RIGHT FORK RD
HAUSER, ID
83854-5585

Practice Phone: 208-773-9420
Practice Fax: 208-773-5776

1669002630 — MR. BRIAN A JOHNSON LPCC
Practice Location Address:

16978 W SANTIAGO CIR
HAUSER, ID
83854-8153

Practice Phone: 208-446-6940
Practice Fax:

1396449088 — BUTLER PHYSICAL THERAPY
Practice Location Address:

9797 N GLEN HOLLOW LN
HAUSER, ID
83854-6159

Practice Phone: 208-771-3579
Practice Fax:

1942087010 — MRS. ANDREA MARIE ROLTGEN CPM, LM
Practice Location Address:

17632 N ADVENT LN
HAUSER, ID
83854-5431

Practice Phone: 208-416-1701
Practice Fax: 208-216-1433

Directions to “ MRS. TERESSA LINDA DURHAM ” 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.