Kelli Ann Henricksen, DPT | |
525 Lilly Rd Ne Ste 250, Olympia, WA 98506-5101 | |
(360) 486-6777 | |
(360) 459-9954 |
Full Name | Kelli Ann Henricksen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 525 Lilly Rd Ne Ste 250, Olympia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790931616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60028377 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Provider Name | Providence Health & Services Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Kelli Ann Henricksen, DPT 525 Lilly Rd Ne Ste 250, Olympia, WA 98506-5101 Ph: (360) 486-6777 | Kelli Ann Henricksen, DPT 525 Lilly Rd Ne Ste 250, Olympia, WA 98506-5101 Ph: (360) 486-6777 |
Ms. Claire Catherine Orazem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Lane Ne, Olympia, WA 98506 Phone: 360-493-4995 Fax: 360-493-4470 | |
Mr. Jonathan P. Jove, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502 Phone: 253-350-1869 Fax: 360-292-7247 | |
Laura Ashley Alyas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502 Phone: 360-709-6221 | |
Mrs. Cheryl Bonebrake Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502 Phone: 360-709-0700 Fax: 360-709-0703 | |
Angelica Kim, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506 Phone: 360-493-4995 | |
Victoria Chenoweth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502 Phone: 360-866-0408 | |
Rachael C Loebach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 Phone: 360-486-0640 Fax: 360-486-0641 |