Mrs Kristin J Fountain, | |
413 Morris St, Laconner, WA 98257 | |
(360) 466-7458 | |
(360) 466-1418 |
Full Name | Mrs Kristin J Fountain |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 413 Morris St, Laconner, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679592950 | NPI | - | NPPES |
8401291 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00008144 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Balance Point Physical Therapy Clinic Ltd | 2961496872 | 6 |
Provider Name | Balance Point Physical Therapy Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598776296 PECOS PAC ID: 2961496872 Enrollment ID: O20040413001291 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristin J Fountain, Po Box 505, 413 Morris St, La Conner, WA 98257-0505 Ph: (360) 466-7458 | Mrs Kristin J Fountain, 413 Morris St, Laconner, WA 98257 Ph: (360) 466-7458 |
Mrs. Janie E Ackerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 Morris St, Laconner, WA 98257 Phone: 360-466-7458 Fax: 360-466-1418 | |
Mrs. Lynette M Cram, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 Morris St, Laconner, WA 98257 Phone: 360-466-7458 Fax: 360-466-1418 | |
Mrs. Lisa M Nelson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 Morris St, Laconner, WA 98257 Phone: 360-466-7458 Fax: 360-466-1418 | |
Balance Point Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 413 Morris St, Laconner, WA 98257 Phone: 360-466-7458 Fax: 360-466-1418 | |
Ms. Joan K Cross, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 Morris St, Laconner, WA 98257 Phone: 360-466-7458 Fax: 360-466-1418 |