Mr Shawn Rueze Hackley, PT | |
501 Cypress St, Fort Bragg, CA 95437-5429 | |
(707) 961-6191 | |
(707) 964-6213 |
Full Name | Mr Shawn Rueze Hackley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 501 Cypress St, Fort Bragg, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295923233 | NPI | - | NPPES |
1235316993 | Other | CORPORATION NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT14615 (California) | Primary |
Provider Name | Hackley Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235316993 PECOS PAC ID: 3274611892 Enrollment ID: O20080423000324 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Rueze Hackley, PT 31740 Cedar St, Fort Bragg, CA 95437-3922 Ph: (707) 961-1606 | Mr Shawn Rueze Hackley, PT 501 Cypress St, Fort Bragg, CA 95437-5429 Ph: (707) 961-6191 |
Tammy Gail Patrick, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31500 Winding Way, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 | |
Mr. Larry D Hinson, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18661 Old Coast Hwy, Fort Bragg, CA 95437 Phone: 707-964-5645 Fax: 707-964-6213 | |
Jocelyn Woodason, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32200 N Harbor Dr Spc 19, Fort Bragg, CA 95437 Phone: 615-651-5365 | |
Donna Marie Burke, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Boatyard Dr, Ste A, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 | |
Sheri Lynn White-hackley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31740 Cedar St, Fort Bragg, CA 95437 Phone: 707-961-1606 | |
Sarah Wagner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Boatyard Dr, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 |