Phase 1 Physical Therapy Ps | |
5928 Highway 291, Nine Mile Falls, WA 99026-9525 | |
(509) 465-5663 | |
(509) 467-8663 |
Full Name | Phase 1 Physical Therapy Ps |
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Type | Facility |
Speciality | Physical Therapist |
Location | 5928 Highway 291, Nine Mile Falls, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235189135 | NPI | - | NPPES |
7116437 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew P Fain |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982700563 PECOS PAC ID: 8426074600 Enrollment ID: I20051017001036 |
Provider Name | Joel T San Nicolas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003866658 PECOS PAC ID: 4082607353 Enrollment ID: I20061229000209 |
Mailing Address | Practice Location Address |
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Phase 1 Physical Therapy Ps Po Box 549, Nine Mile Falls, WA 99026-0549 Ph: (509) 465-5663 | Phase 1 Physical Therapy Ps 5928 Highway 291, Nine Mile Falls, WA 99026-9525 Ph: (509) 465-5663 |
Joel T San Nicolas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5928 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Blake H Lavin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6066 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Greater Spokane Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W 13011 Shore Road, Nine Mile Falls, WA 99026 Phone: 509-991-5678 Fax: 509-328-7802 |