Kelli Lynne White, PT | |
20633 Gas Point Rd, Suite J, Cottonwood, CA 96022-9296 | |
(530) 347-4195 | |
(530) 347-4192 |
Full Name | Kelli Lynne White |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 20633 Gas Point Rd, Cottonwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366619207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT30152 (California) | Primary |
Provider Name | Cottonwood Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699981589 PECOS PAC ID: 1658432463 Enrollment ID: O20081211000163 |
Mailing Address | Practice Location Address |
---|---|
Kelli Lynne White, PT 20633 Gas Point Rd, Suite J, Cottonwood, CA 96022-9296 Ph: (530) 347-4195 | Kelli Lynne White, PT 20633 Gas Point Rd, Suite J, Cottonwood, CA 96022-9296 Ph: (530) 347-4195 |
Jason Earl White, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20633 Gas Point Rd, Suite J, Cottonwood, CA 96022 Phone: 530-347-4195 Fax: 530-347-4192 | |
Cornerstone Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3254 Main Street, Cottonwood, CA 96022 Phone: 530-347-2220 Fax: 530-347-2227 | |
Cottonwood Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 20633 Gas Point Rd Ste J, Cottonwood, CA 96022 Phone: 530-347-4195 Fax: 530-347-4192 | |
Thomas Steven Reuss, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3254 Main Street, Cottonwood, CA 96022 Phone: 530-347-2220 Fax: 530-347-2227 |