Grand Coulee Physical Therapy | |
321 Burdin Blvd, Grand Coulee, WA 99133-0680 | |
(509) 633-3260 | |
(509) 633-3212 |
Full Name | Grand Coulee Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 321 Burdin Blvd, Grand Coulee, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477726438 | NPI | - | NPPES |
7041320 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00003909 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Grand Coulee Physical Therapy Po Box 680, Grand Coulee, WA 99133-0680 Ph: (509) 633-3260 | Grand Coulee Physical Therapy 321 Burdin Blvd, Grand Coulee, WA 99133-0680 Ph: (509) 633-3260 |
Anna Hardesty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Mr. Richard M King, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Burdin Blvd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Dr. Kai Scott, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Boulevard, Grand Coulee, WA 99133 Phone: 509-633-3260 | |
Charlene Marie Desautel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 | |
Kelly J Prather, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 |