Jeremiah Jaymes Campbell, PT, DPT | |
200 Nat Washington Way, Ephrata, WA 98823-1997 | |
(509) 754-4631 | |
Not Available |
Full Name | Jeremiah Jaymes Campbell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 200 Nat Washington Way, Ephrata, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164082582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60933679 (Washington) | Primary |
Provider Name | Grant County Public Hospital District No. 3 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
Mailing Address | Practice Location Address |
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Jeremiah Jaymes Campbell, PT, DPT 19241 Ashworth Ave N, Shoreline, WA 98133-3618 Ph: (425) 350-0133 | Jeremiah Jaymes Campbell, PT, DPT 200 Nat Washington Way, Ephrata, WA 98823-1997 Ph: (509) 754-4631 |
Elizabeth Grace Roosma, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-4631 | |
John Kenneth Miller, M.S.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-4631 | |
Mr. Christopher A Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 408 Basin St Nw, Ephrata, WA 98823 Phone: 509-754-6100 Fax: 509-754-6112 | |
Sarah Busse, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 269 Statter Rd, Ephrata, WA 98823 Phone: 509-793-6401 | |
Ephrata Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 Basin St Nw, Ephrata, WA 98823 Phone: 509-754-6100 | |
Ephrata Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 408 Basin St. Nw, Ephrata, WA 98823 Phone: 509-754-6100 Fax: 503-754-6112 |