Jennifer Marie White, DPT | |
406 E Grace Ave, Woodland Park, CO 80863-3127 | |
(719) 687-3767 | |
Not Available |
Full Name | Jennifer Marie White |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 406 E Grace Ave, Woodland Park, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518605898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2171 (Wyoming) | Secondary |
225100000X | Physical Therapist | PTL.0019069 (Colorado) | Primary |
Provider Name | Select Physical Therapy Of West Denver Limited Partnership |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346896081 PECOS PAC ID: 6709771157 Enrollment ID: O20191022001159 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie White, DPT 671 N Walnut St, Woodland Park, CO 80863-1028 Ph: (970) 214-5064 | Jennifer Marie White, DPT 406 E Grace Ave, Woodland Park, CO 80863-3127 Ph: (719) 687-3767 |
Mrs. Marzelle Claassen Black, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-374-6172 Fax: 719-374-6118 | |
Serc Of Woodland Park Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Grace Ave, Woodland Park, CO 80863 Phone: 719-687-3767 Fax: 719-687-2525 | |
Ashley Alvarez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 N. Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
David Thomas Conlin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 41 State Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Matthew Lawrence Thessing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 E Grace Ave, Woodland Park, CO 80863 Phone: 719-687-3767 Fax: 719-687-2525 | |
Carol Greenstreet, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 N Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Mr. Brandon Stapanowich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 719-357-3307 |