Lucie Khadduri, BSPT | |
3015 Limited Ln Nw, Ste B, Olympia, WA 98502-2638 | |
(360) 709-0700 | |
(360) 709-0703 |
Full Name | Lucie Khadduri |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 3015 Limited Ln Nw, Olympia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144305350 | NPI | - | NPPES |
0291092 | Other | WA | DEPT. OF LABOR AND INDUSTRIES |
650023899 | Other | WA | RAILROAD MEDICARE |
8542KH | Other | WA | REGENCE BLUE SHIELD |
8336786 | Medicaid | WA | |
8936913 | Other | WA | CRIME VICTIMS |
160515 | Other | WA | DEPT OF LABOR & INDUSTRY |
A008 | Other | WA | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00008806 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Provider Name | Providence Health & Services Washington |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Lucie Khadduri, BSPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Lucie Khadduri, BSPT 3015 Limited Ln Nw, Ste B, Olympia, WA 98502-2638 Ph: (360) 709-0700 |
Ms. Claire Catherine Orazem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Lane Ne, Olympia, WA 98506 Phone: 360-493-4995 Fax: 360-493-4470 | |
Mr. Jonathan P. Jove, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502 Phone: 253-350-1869 Fax: 360-292-7247 | |
Laura Ashley Alyas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502 Phone: 360-709-6221 | |
Mrs. Cheryl Bonebrake Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502 Phone: 360-709-0700 Fax: 360-709-0703 | |
Angelica Kim, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506 Phone: 360-493-4995 | |
Victoria Chenoweth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502 Phone: 360-866-0408 | |
Rachael C Loebach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 Phone: 360-486-0640 Fax: 360-486-0641 |