Ellyse Bruursema, | |
1234 Whitefish Stage, Kalispell, MT 59901-2753 | |
(406) 756-7878 | |
(406) 257-7811 |
Full Name | Ellyse Bruursema |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1234 Whitefish Stage, Kalispell, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184005340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3806 (Montana) | Primary |
Provider Name | Mosaic, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407171507 PECOS PAC ID: 9638200561 Enrollment ID: O20100621000941 |
Mailing Address | Practice Location Address |
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Ellyse Bruursema, 1234 Whitefish Stage, Kalispell, MT 59901-2753 Ph: (406) 756-7878 | Ellyse Bruursema, 1234 Whitefish Stage, Kalispell, MT 59901-2753 Ph: (406) 756-7878 |
Mr. Gordon Fredrick Smith Ii, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2593 Us Highway 2 E, Suite 6, Kalispell, MT 59901 Phone: 406-257-0933 Fax: 406-257-3426 | |
Patrick J Heil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Windward Way, Kalispell, MT 59901 Phone: 406-756-8488 Fax: 406-257-4663 | |
Melanie Gilbert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Village Loop Rd Ste A, Kalispell, MT 59901 Phone: 406-756-7878 Fax: 406-257-7811 | |
Jacob H Groh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Village Loop Rd Ste A, Kalispell, MT 59901 Phone: 406-756-7878 Fax: 406-257-7811 | |
Mr. Garrett Lee Mcneil, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 Phone: 406-257-0933 Fax: 406-257-3426 | |
Joshua Christoferson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Village Loop Rd Ste A, Kalispell, MT 59901 Phone: 406-756-7878 Fax: 406-257-7811 | |
Russell Lindahl, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 E Idaho St Ste A, Kalispell, MT 59901 Phone: 406-257-5610 Fax: 406-257-1372 |