Ms Rusti L Wilbanks, RPT | |
1200 S Elmira Ave, Russellville, AR 72802-9646 | |
(479) 968-7118 | |
(479) 968-8628 |
Full Name | Ms Rusti L Wilbanks |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1200 S Elmira Ave, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114173960 | NPI | - | NPPES |
154573721 | Medicaid | AR | |
PT1597 | Other | AR | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1597 (Arkansas) | Primary |
Provider Name | Friendship Community Care Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528144318 PECOS PAC ID: 9335463496 Enrollment ID: O20150120000780 |
Mailing Address | Practice Location Address |
---|---|
Ms Rusti L Wilbanks, RPT Po Box 2109, Russellville, AR 72811-2109 Ph: (479) 967-2322 | Ms Rusti L Wilbanks, RPT 1200 S Elmira Ave, Russellville, AR 72802-9646 Ph: (479) 968-7118 |
Seth B. Coulter, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802 Phone: 479-967-5155 Fax: 479-967-5141 | |
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178 | |
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069 | |
Mr. Jerry Wayne Manning, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801 Phone: 479-967-9657 Fax: 479-967-9658 | |
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126 | |
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 |