Dustin Poulsen, DPT | |
700 N Spring Street, Caliente, NV 89008-1010 | |
(775) 726-3171 | |
(775) 726-3797 |
Full Name | Dustin Poulsen |
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Gender | Male |
Speciality | Physical Therapist |
Location | 700 N Spring Street, Caliente, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528751575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5132 (Nevada) | Primary |
Provider Name | Lincoln County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659423341 PECOS PAC ID: 2163408246 Enrollment ID: O20040629000192 |
Provider Name | Lincoln County Hospital District |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1659423341 PECOS PAC ID: 2163408246 Enrollment ID: O20100201000589 |
Mailing Address | Practice Location Address |
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Dustin Poulsen, DPT Po Box 1010, Caliente, NV 89008-1010 Ph: (775) 726-3171 | Dustin Poulsen, DPT 700 N Spring Street, Caliente, NV 89008-1010 Ph: (775) 726-3171 |
Eric Christopher Pike, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 N Springs St, Ste C, Caliente, NV 89008 Phone: 775-726-3117 | |
Mr. Kirk R Player, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 N. Spring St, Suite C, Caliente, NV 89008 Phone: 775-726-3117 Fax: 775-726-3118 | |
Mr. Kobee West Wade, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 N Spring St, Ste C, Caliente, NV 89008 Phone: 775-726-3117 Fax: 775-726-3118 | |
Mr. Lane Dee Truman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 N Spring St., Suite C, Caliente, NV 89008 Phone: 775-726-3117 Fax: 775-726-3118 |