| Kyle Duane Mahlum, PT | |
|
1408 N Louisiana St, Suite 104-a, Kennewick, WA 99336-7167 | |
| (509) 783-1962 | |
| (509) 783-1706 |
| Full Name | Kyle Duane Mahlum |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1408 N Louisiana St, Kennewick, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396973517 | NPI | - | NPPES |
| 0251343 | Other | WA | WASHINGTON L&I |
| 8561995 | Medicaid | WA | |
| P00742614 | Other | WA | RR MEDICARE |
| 1396973517 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT60093188 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Duane Mahlum, PT 11481 Sw Hall Blvd, Suite 201, Portland, OR 97223-8403 Ph: (800) 219-8835 | Kyle Duane Mahlum, PT 1408 N Louisiana St, Suite 104-a, Kennewick, WA 99336-7167 Ph: (509) 783-1962 |
Terry Kelly Shultz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1706 W 30th Ave, Kennewick, WA 99337 Phone: 509-582-0789 | |
Jamie L Geris, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2839 W Kennewick Ave # 550, Kennewick, WA 99336 Phone: 509-783-8977 Fax: 509-783-6151 | |
Randelle K Fuller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 W 10th Ave, Kennewick, WA 99336 Phone: 509-582-6335 Fax: 509-582-6375 | |
Ryan Mckinney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 S. Williams Pl., Ste 110, Kennewick, WA 99338 Phone: 509-946-1654 Fax: 509-943-5652 | |
Chad Blankenship, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8819 W Victoria Ave Ste 110, Kennewick, WA 99336 Phone: 509-783-1851 | |
Dr. Jason L Hanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 191 Reata Rd, Kennewick, WA 99338 Phone: 509-579-8812 | |
Justin William Bingman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 |