Mrs Holly Pennington, MPT | |
8910 184th Ave E, Bonney Lake, WA 98391-8531 | |
(253) 863-7510 | |
(253) 863-5970 |
Full Name | Mrs Holly Pennington |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8910 184th Ave E, Bonney Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346232022 | NPI | - | NPPES |
8333379 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00008860 (Washington) | Primary |
Provider Name | Outpatient Physical Therapy & Sports Rehabilitation Inc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730394420 PECOS PAC ID: 3678487063 Enrollment ID: O20031119000148 |
Mailing Address | Practice Location Address |
---|---|
Mrs Holly Pennington, MPT 26837 Maple Valley Black Diamond Rd Se, Ste 200, Maple Valley, WA 98038-9917 Ph: (425) 413-4427 | Mrs Holly Pennington, MPT 8910 184th Ave E, Bonney Lake, WA 98391-8531 Ph: (253) 863-7510 |
Megan Hofstede, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 | |
Althea Parry-childerley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Travis Laird, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Susan M Beardemphl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Mr. Michael Andrew Egbert, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20910 Sr 410 E, Bonney Lake, WA 98391 Phone: 253-862-2575 Fax: 253-862-2675 | |
Performance Sports And Spine Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391 Phone: 253-826-8520 Fax: 253-826-8522 | |
Martha Elizabeth Glenn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19820 Sr 410 E, Suite 201, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 |