| Black Diamond Sports Therapy, Llc | |
|
147 Easy Way Suite #106, Wenatchee, WA 98801 | |
| (509) 663-7733 | |
| (509) 663-3255 |
| Full Name | Black Diamond Sports Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 147 Easy Way Suite #106, Wenatchee, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073725107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Markus J Stockman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467425694 PECOS PAC ID: 2163452988 Enrollment ID: I20050823000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Black Diamond Sports Therapy, Llc 147 Easy Way Suite #106, Wenatchee, WA 98801 Ph: (509) 663-7733 | Black Diamond Sports Therapy, Llc 147 Easy Way Suite #106, Wenatchee, WA 98801 Ph: (509) 663-7733 |
Richard A Hesner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Mrs. Renee Michelle Monson, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 N Mission St, Wenatchee, WA 98801 Phone: 509-888-2505 Fax: 509-888-2507 | |
Dustin Smart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18 N Worthen, Ste 200, Wenatchee, WA 98801 Phone: 509-665-3156 Fax: 509-665-0414 | |
Nicole Lynn Foster, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Mr. Roger E King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Megan Collier, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18 N Worthen St Ste 200, Wenatchee, WA 98801 Phone: 509-665-3156 Fax: 509-665-0414 | |
Daniel Mercado- Tejeda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000b N Miller St, Wenatchee, WA 98801 Phone: 509-663-8711 |