| Mr Tristan Proett, MSPT | |
|
913 11th St Se, Suite 1, Bandon, OR 97411-9168 | |
| (541) 347-4314 | |
| (541) 347-8006 |
| Full Name | Mr Tristan Proett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 913 11th St Se, Bandon, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457468225 | NPI | - | NPPES |
| 269048 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3745 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tristan Proett, MSPT 913 11th St Se, Suite 1, Bandon, OR 97411-9168 Ph: (541) 347-4314 | Mr Tristan Proett, MSPT 913 11th St Se, Suite 1, Bandon, OR 97411-9168 Ph: (541) 347-4314 |
Mackenzie Weisman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 913 11th St Se, Bandon, OR 97411 Phone: 541-347-4314 | |
Paul Edward Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 913 11th St Se Ste 2, Bandon, OR 97411 Phone: 541-347-4314 | |
Mrs. Courtney V Hiebing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 11th St Se Ste 1, Bandon, OR 97411 Phone: 541-347-4314 | |
Nicolette Fonseca, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 11th St Se Ste 2, Bandon, OR 97411 Phone: 541-347-4314 Fax: 541-347-8006 |