Charmaine R Minnis, PT | |
123 E Johnson Ave, Chelan, WA 98816 | |
(509) 682-4713 | |
(509) 682-3218 |
Full Name | Charmaine R Minnis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 123 E Johnson Ave, Chelan, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912988924 | NPI | - | NPPES |
8335622 | Medicaid | WA | |
161721 | Other | WA | PERSONAL L&I ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 025208 PT00006114 (Washington) | Primary |
Provider Name | Lake Chelan Physical Therapy Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407837453 PECOS PAC ID: 3971595216 Enrollment ID: O20040330000824 |
Mailing Address | Practice Location Address |
---|---|
Charmaine R Minnis, PT Po Box 6, Chelan, WA 98816-0006 Ph: (509) 682-4713 | Charmaine R Minnis, PT 123 E Johnson Ave, Chelan, WA 98816 Ph: (509) 682-4713 |
Connie S Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 123 E Johnson Ave, Chelan, WA 98816 Phone: 509-682-4713 Fax: 509-682-3218 | |
Alexander N Vanderholm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 S Apple Blossom Dr, Chelan, WA 98816 Phone: 509-682-3300 | |
Joshua Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 S Apple Blossom Dr Unit 112, Chelan, WA 98816 Phone: 218-791-8759 |