Dr Braiden Kingsford, DPT | |
21651 E Country Vista Dr, Liberty Lake, WA 99019-7708 | |
(509) 598-9402 | |
Not Available |
Full Name | Dr Braiden Kingsford |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 21651 E Country Vista Dr, Liberty Lake, 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 |
---|---|---|---|
1376096875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5553 (Idaho) | Secondary |
225100000X | Physical Therapist | PT60645217 (Washington) | Primary |
Provider Name | Kingsford Physical Therapy And Wellness Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821609249 PECOS PAC ID: 0648680850 Enrollment ID: O20201029001781 |
Mailing Address | Practice Location Address |
---|---|
Dr Braiden Kingsford, DPT Po Box 72, Liberty Lake, WA 99019-0072 Ph: (509) 598-9402 | Dr Braiden Kingsford, DPT 21651 E Country Vista Dr, Liberty Lake, WA 99019-7708 Ph: (509) 598-9402 |
David Anthony Therrattil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23505 E Appleway Ave, Ste. 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Madhu Enjati, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21200 E Country Vista Dr, D101, Liberty Lake, WA 99019 Phone: 623-521-8653 | |
Sean Patrick Campbell, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23505 E Appleway Ave Ste 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Caleb Matlock Dotson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23410 E Mission Ave Ste 2, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Kylie Helgeland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23410 E Mission Ave Ste 2, Liberty Lake, WA 99019 Phone: 509-891-2258 | |
Adam Patrick Martin, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23505 E Appleway Ave, Suite 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Tai Liberty Lake Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23505 E Appleway Ave, Ste 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 |