| Elevate Sports And Spine Physical Therapy, Pllc | |
|
3201 Willamette Dr Ne Ste C, Lacey, WA 98516-1376 | |
| (360) 888-8009 | |
| Not Available |
| Full Name | Elevate Sports And Spine Physical Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3201 Willamette Dr Ne Ste C, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184477283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Zachary R Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649523903 PECOS PAC ID: 3678709698 Enrollment ID: I20141027002598 |
| Provider Name | Stephanie M Sparks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851849061 PECOS PAC ID: 9335422450 Enrollment ID: I20170214002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Sports And Spine Physical Therapy, Pllc 941 G St Sw, Tumwater, WA 98512-4602 Ph: () - | Elevate Sports And Spine Physical Therapy, Pllc 3201 Willamette Dr Ne Ste C, Lacey, WA 98516-1376 Ph: (360) 888-8009 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole Dominique Jalandoni Vasquez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516 Phone: 360-456-1444 | |
Summer Rae Koogler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5730 Ruddell Rd Se Ste A, Lacey, WA 98503 Phone: 360-338-3901 | |
Juman Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 |