Nolan Wesley Kellow, DPT | |
144 169th St S, Suite B, Spanaway, WA 98387-8201 | |
(253) 846-8918 | |
(253) 846-8126 |
Full Name | Nolan Wesley Kellow |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 144 169th St S, Spanaway, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972836658 | NPI | - | NPPES |
0048KE | Other | WA | REGENCE BLUE SHIELD |
0253931 | Other | WA | LABOR AND INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60100044 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benchmark Physical Therapy Of Oregon Llc | 0143510602 | 105 |
Provider Name | Benchmark Physical Therapy Of Oregon Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
Mailing Address | Practice Location Address |
---|---|
Nolan Wesley Kellow, DPT 9315 Gravelly Lake Dr Sw, Lakewood, WA 98499-1574 Ph: (253) 581-5200 | Nolan Wesley Kellow, DPT 144 169th St S, Suite B, Spanaway, WA 98387-8201 Ph: (253) 846-8918 |
Colton Kenneth Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Miss Sejal J. Gajarawala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 160th St S, Ste 301, Spanaway, WA 98387 Phone: 253-531-4100 Fax: 253-531-3795 | |
Justin Nicolas Robinson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
George Gay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Signia A Ray, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 160th St S, Suite 301, Spanaway, WA 98387 Phone: 253-531-4100 Fax: 253-531-3795 | |
Michael Larkin Mulligan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Jonathan Brown, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8618 |