Next Level Physical Therapy Performance And Fitness | |
719 Southpoint Blvd, Suite A, Petaluma, CA 94954-1495 | |
(707) 781-8062 | |
(707) 981-8684 |
Full Name | Next Level Physical Therapy Performance And Fitness |
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Type | Facility |
Speciality | Physical Therapist |
Location | 719 Southpoint Blvd, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003280801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 27666 (California) | Primary |
Provider Name | Kyle L Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861597908 PECOS PAC ID: 4385818772 Enrollment ID: I20111121000821 |
Mailing Address | Practice Location Address |
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Next Level Physical Therapy Performance And Fitness 719 Southpoint Blvd, Suite A, Petaluma, CA 94954-1495 Ph: (707) 781-8062 | Next Level Physical Therapy Performance And Fitness 719 Southpoint Blvd, Suite A, Petaluma, CA 94954-1495 Ph: (707) 781-8062 |
Mrs. Jacqueline Michelle Quinn, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0115 | |
Ms. Lory M Teicheira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Bassett St, Petaluma, CA 94952 Phone: 707-769-0915 Fax: 707-769-9244 | |
Ms. Lydia E Estevez, P,T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3628 | |
Michelle Garcia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 B St, Petaluma, CA 94952 Phone: 707-765-3030 | |
Christine O'meara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1712 Chehalis Dr, Petaluma, CA 94954 Phone: 707-849-9310 | |
Corriene Atup, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ponderosa Dr, Petaluma, CA 94954 Phone: 415-420-9185 |