Mr Scott Philip Gaustad, PT | |
200 W Hospital Drive, Whiteriver, AZ 85941 | |
(928) 338-3610 | |
(928) 338-3522 |
Full Name | Mr Scott Philip Gaustad |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 200 W Hospital Drive, Whiteriver, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063547222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2668 (Arizona) | Primary |
Provider Name | Dhhs Ihs Phoenix Area |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Philip Gaustad, PT 5444 S Thunder Sky Way, Tucson, AZ 85747-5871 Ph: (520) 398-4287 | Mr Scott Philip Gaustad, PT 200 W Hospital Drive, Whiteriver, AZ 85941 Ph: (928) 338-3610 |
Dakota Kay, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 W Hospital Dr, Whiteriver, AZ 85941 Phone: 928-383-3606 | |
Mr. Michael Ronald Huylebroeck, P.T.. M.B.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3611 | |
Cj Duncan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3606 | |
Mckayla Mashburn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Dr., Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Miss Amanda Kaye Swallow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522 | |
Mr. Scott Douglas Mcgrew, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 West Hospital Dr., Whiteriver, AZ 85941 Phone: 928-338-3610 |