Deborah Deshazo, | |
10171 Chumstick Hwy Ste 1, Leavenworth, WA 98826-8762 | |
(509) 548-3133 | |
Not Available |
Full Name | Deborah Deshazo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 10171 Chumstick Hwy Ste 1, Leavenworth, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902582091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00002858 (Washington) | Primary |
Provider Name | Mt Stuart Pt Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295805737 PECOS PAC ID: 9335133016 Enrollment ID: O20040414000769 |
Mailing Address | Practice Location Address |
---|---|
Deborah Deshazo, 10171 Chumstick Hwy Ste 1, Leavenworth, WA 98826-8762 Ph: (509) 548-3133 | Deborah Deshazo, 10171 Chumstick Hwy Ste 1, Leavenworth, WA 98826-8762 Ph: (509) 548-3133 |
Ms. Nancy Ann Bywater-johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Mr. Chris Stephen Allen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Fox Hollow Rd, Leavenworth, WA 98826 Phone: 206-963-5133 | |
Mt. Stuart P.t., P.s. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Sonia M Karumsi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Mr. Luke Paul Astell, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Dr. Trisha Wilkie Self, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10171 Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 | |
Mr. William Young Iii, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 |