Eddy Leonard Robertson, PT | |
1620 Se Summit Ct, Pullman, WA 99163-5519 | |
(509) 332-5106 | |
(509) 334-5723 |
Full Name | Eddy Leonard Robertson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1620 Se Summit Ct, Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891751087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00007122 (Washington) | Primary |
Provider Name | Public Hospital District #1-a Of Whitman County |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Provider Name | Public Hospital District #1-a Of Whitman County |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
Mailing Address | Practice Location Address |
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Eddy Leonard Robertson, PT 803 Line Street, Box 28, Colton, WA 99113 Ph: (509) 229-3979 | Eddy Leonard Robertson, PT 1620 Se Summit Ct, Pullman, WA 99163-5519 Ph: (509) 332-5106 |
Cheryl Lynn Rudd, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 | |
Elizabeth C Davis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 Fax: 509-334-5723 | |
Janessa Dunbar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Edward Charles Harkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Ave Ste B, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 | |
Krista M Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Se Klemgard St, Pullman, WA 99163 Phone: 509-288-2218 Fax: 801-495-5298 | |
Mrs. Kimberly Ann Williams, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 588 Se Bishop Blvd Ste A, Pullman, WA 99163 Phone: 509-332-7778 Fax: 509-332-7032 | |
Mrs. Laura Nakata Vannucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 |