| Loudon Orthosport Pt, Llc | |
|
2200 S Maiers Rd, Suite C, Moses Lake, WA 98837-8818 | |
| (509) 764-7246 | |
| Not Available |
| Full Name | Loudon Orthosport Pt, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2200 S Maiers Rd, Moses Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134315294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00007801 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Loudon Orthosport Pt, Llc 2200 S Maiers Rd, Suite C, Moses Lake, WA 98837-8818 Ph: (509) 764-7246 | Loudon Orthosport Pt, Llc 2200 S Maiers Rd, Suite C, Moses Lake, WA 98837-8818 Ph: (509) 764-7246 |
Mcclayne Thomas Powers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1342 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-765-9608 Fax: 509-766-0481 | |
Joanne U Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Ryan Carpenter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-793-9605 | |
Rebecca A Fleming, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
James A Jenkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Jacob L Tacher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1342 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-765-9608 Fax: 509-766-0481 |