Kieran Lyssa Nashan, | |
104 Centennial Dr Ste 101, Livingston, MT 59047-8101 | |
(406) 222-0366 | |
(406) 222-0366 |
Full Name | Kieran Lyssa Nashan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 104 Centennial Dr Ste 101, Livingston, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942617188 | NPI | - | NPPES |
1942617188 | Medicaid | MT | |
2039509 | Medicaid | WA | |
P01476740 | Other | WA | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTP-PT-LIC-9425 (Montana) | Secondary |
225100000X | Physical Therapist | 60480124 (Washington) | Primary |
Provider Name | Yellowstone Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841322310 PECOS PAC ID: 6204807282 Enrollment ID: O20040803001488 |
Mailing Address | Practice Location Address |
---|---|
Kieran Lyssa Nashan, 16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Kieran Lyssa Nashan, 104 Centennial Dr Ste 101, Livingston, MT 59047-8101 Ph: (406) 222-0366 |
Holly May, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Alpenglow Ln, Livingston, MT 59047 Phone: 406-823-6414 | |
Livingston Health & Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 | |
Mark Robert Broadhead, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 | |
Gary Dean Miller, P.T., CPED Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 S. Main St, Livingston, MT 59047 Phone: 406-222-4682 Fax: 406-222-4681 | |
Dr. Lexi Jade Klawitter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Livingston, MT 59047 Phone: 406-222-4682 | |
Alison Shannon-lier, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Livingston, MT 59047 Phone: 406-222-4682 | |
Erika Suermann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 S 14th St, Livingston, MT 59047 Phone: 406-222-0672 |