Luis Enrique Reyes Mendieta, | |
35249 Kenai Spur Hwy, Soldotna, AK 99669 | |
(907) 781-3227 | |
Not Available |
Full Name | Luis Enrique Reyes Mendieta |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 35249 Kenai Spur Hwy, Soldotna, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033895081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 210543 (Alaska) | Primary |
Provider Name | Revolution Sport & Spine Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598215170 PECOS PAC ID: 6507146412 Enrollment ID: O20161212001847 |
Mailing Address | Practice Location Address |
---|---|
Luis Enrique Reyes Mendieta, 35249 Kenai Spur Hwy, Soldotna, AK 99669 Ph: (907) 781-3227 | Luis Enrique Reyes Mendieta, 35249 Kenai Spur Hwy, Soldotna, AK 99669 Ph: (907) 781-3227 |
Mrs. Stacy Lee Brantley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35551 Kenai Spur Hwy, Soldotna, AK 99669 Phone: 907-714-4534 Fax: 907-262-4783 | |
Christy Nicole Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44604 Sterling Hwy, Unit A, Soldotna, AK 99669 Phone: 907-420-0640 Fax: 907-420-0630 | |
Alaskan Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36275 Kenai Spur Hwy, Suite 5, Soldotna, AK 99669 Phone: 907-260-2679 Fax: 907-260-2676 | |
Zachary Michael Huot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 Fax: 907-262-9290 | |
Savannah Jeane Lyons, SPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35249 Kenai Spur Hwy Ste C, Soldotna, AK 99669 Phone: 907-420-0836 Fax: 907-420-0837 | |
Aspen Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 W. Marydale Ave, Soldotna, AK 99669 Phone: 907-262-2596 |