Wild Rose Physio Pllc

Wild Rose Physio Pllc is a healthcare organization registered as Physical Therapy Clinic/Center in Moscow, ID, holding Type 2 (organization) NPI 1154162113 since 2024. The authorized official on file is Lauren Jentges, Owner.

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NPI	1154162113
Entity type	Organization (Type 2)
Legal business name	Wild Rose Physio Pllc
Practice address	325 W PALOUSE RIVER DR, Moscow, ID, 83843
Phone	2086896044
Fax	2082424018
Enumeration date	2024-06-04
Last updated in NPPES	2024-06-04

Authorized official

Name	Lauren Jentges
Title	Owner
Phone	2069487475

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2000X	Physical Therapy Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Wild Rose Physio Pllc
NPI: 1154162113
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 325 W PALOUSE RIVER DR, Moscow, ID, 83843

Providers at this address

NPI	Name	Type	Specialty	Location
1043854508	Allison Zimms	Individual	Massage Therapist	Moscow, ID
1407574890	Kelly Haase	Individual	Naturopath	Moscow, ID

Verify this record

Cross-check NPI 1154162113 against the authoritative CMS record: view Wild Rose Physio Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-04. Verify at npiregistry.cms.hhs.gov.

Where is Wild Rose Physio Pllc located?

The practice location on file with NPPES is in Moscow, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-04.