Mr Richard M King, PT | |
321 Burdin Blvd, Grand Coulee, WA 99133-0680 | |
(509) 633-3260 | |
(509) 633-3212 |
Full Name | Mr Richard M King |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 321 Burdin Blvd, Grand Coulee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467542894 | NPI | - | NPPES |
1044342 | Medicaid | WA | |
337847 | Other | WA | L&I |
G8951875 | Other | WA | MDCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00003909 (Washington) | Primary |
Provider Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard M King, PT 411 Fortuyn Rd, Grand Coulee, WA 99133 Ph: (509) 633-3260 | Mr Richard M King, PT 321 Burdin Blvd, Grand Coulee, WA 99133-0680 Ph: (509) 633-3260 |
Anna Hardesty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Grand Coulee Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Blvd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Dr. Kai Scott, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Boulevard, Grand Coulee, WA 99133 Phone: 509-633-3260 | |
Charlene Marie Desautel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 | |
Kelly J Prather, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 |