Blake Thedinga, DPT | |
27 Colwell St, Port Hadlock, WA 98339-0897 | |
(360) 385-9310 | |
(360) 379-8826 |
Full Name | Blake Thedinga |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 27 Colwell St, Port Hadlock, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861772998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 60231824 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Discovery Physical Therapy, Inc., P.s. | 7911906995 | 5 |
Provider Name | Discovery Physical Therapy, Inc., P.s. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922104926 PECOS PAC ID: 7911906995 Enrollment ID: O20061221000090 |
Mailing Address | Practice Location Address |
---|---|
Blake Thedinga, DPT Po Box 897, Port Hadlock, WA 98339-0897 Ph: (360) 385-9310 | Blake Thedinga, DPT 27 Colwell St, Port Hadlock, WA 98339-0897 Ph: (360) 385-9310 |
Mary Ellen Breckel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Gail E Maciejewski, MSPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Dirksen Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Colwell Street, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Amy I Lynch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell Street, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Janet K. Hutchison, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Mr. Max Otto Selisch, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Erica Nixon Mack, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 |