Kenneth Smith, PT | |
487a North Main St, Thayne, WY 83127 | |
(307) 883-8877 | |
(307) 883-8876 |
Full Name | Kenneth Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 487a North Main St, Thayne, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558838185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1828 (Wyoming) | Primary |
Provider Name | Red Tail Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710618483 PECOS PAC ID: 4880079565 Enrollment ID: O20220915003405 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Smith, PT Po Box 860, Thayne, WY 83127-0860 Ph: (307) 883-8877 | Kenneth Smith, PT 487a North Main St, Thayne, WY 83127 Ph: (307) 883-8877 |
Dr. Hayden Glen Datwyler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 | |
Jimmy Douglas Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway, #1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Dr. Kevin Baldwin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Dr. Clancy Clyde Brown, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy Ste 1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Daniel Dean Jeske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #1, Thayne, WY 83127 Phone: 307-883-7878 | |
David Stoker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a N Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876 |