| Great Basin Physical Therapy And Performance Center | |
|
1701 County Rd, Suite B, Minden, NV 89423-4464 | |
| (775) 782-4466 | |
| Not Available |
| Full Name | Great Basin Physical Therapy And Performance Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1701 County Rd, Minden, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366769234 | NPI | - | NPPES |
| 2193 | Other | NV | BOARD OF PHYSICAL THERAPY EXAMINERS |
| 34615 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2193 (Nevada) | Primary |
| Provider Name | Ashwin T Datt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437336492 PECOS PAC ID: 3375626849 Enrollment ID: I20080207000452 |
| Provider Name | Jaqueline M Ovard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831537653 PECOS PAC ID: 9234370404 Enrollment ID: I20130731000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Basin Physical Therapy And Performance Center Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050 | Great Basin Physical Therapy And Performance Center 1701 County Rd, Suite B, Minden, NV 89423-4464 Ph: (775) 782-4466 |
Bodywise Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 1667 Lucerne St Ste B, Minden, NV 89423 Phone: 775-783-7606 Fax: 775-783-7605 | |
Erin Mcmullin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1667 Lucerne St Ste B, Minden, NV 89423 Phone: 775-783-7606 Fax: 775-783-7605 | |
New Light Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2869 Esaw St, Minden, NV 89423 Phone: 775-235-8809 Fax: 775-420-4675 | |
Miss Monique B. Haviland, MSPT, CSCS, PES, CPI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1667 Lucerne St, Suite B, Minden, NV 89423 Phone: 775-783-7606 Fax: 775-783-7605 | |
Gary Russell Standifer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1667 Lucerne St, Suite B, Minden, NV 89423 Phone: 775-783-7606 Fax: 775-783-7605 | |
Emily Josephine Burns, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1667 Lucerne St Ste B, Minden, NV 89423 Phone: 775-783-7606 Fax: 775-783-7605 | |
William Scott Wall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1625 West Hwy 88, Suite 302, Minden, NV 89423 Phone: 775-782-4422 Fax: 775-782-4232 |