Mrs Laura Nakata Vannucci, MPT | |
840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | |
(509) 338-9204 | |
(509) 338-9206 |
Full Name | Mrs Laura Nakata Vannucci |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 840 Se Bishop Blvd, Pullman, 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 |
---|---|---|---|
1104844265 | NPI | - | NPPES |
8421851 | Medicaid | WA | |
0195910 | Other | WA | DEPT LABOR & INDUSTRY |
3523VA | Other | ASURIS NORTHWEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00005587 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proformance Physical Therapy, Llc | 0840229480 | 6 |
Provider Name | Proformance Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720012065 PECOS PAC ID: 0840229480 Enrollment ID: O20050804000497 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura Nakata Vannucci, MPT 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 Ph: (509) 338-9204 | Mrs Laura Nakata Vannucci, MPT 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 Ph: (509) 338-9204 |
Cheryl Lynn Rudd, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 | |
Elizabeth C Davis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 Fax: 509-334-5723 | |
Janessa Dunbar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Edward Charles Harkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Ave Ste B, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 | |
Krista M Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Se Klemgard St, Pullman, WA 99163 Phone: 509-288-2218 Fax: 801-495-5298 | |
Mrs. Kimberly Ann Williams, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 588 Se Bishop Blvd Ste A, Pullman, WA 99163 Phone: 509-332-7778 Fax: 509-332-7032 |