| Pt Northwest Of Longview, Inc | |
|
1714 S Gold St, Centralia, WA 98531-8951 | |
| (360) 360-5532 | |
| (564) 999-5722 |
| Full Name | Pt Northwest Of Longview, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1714 S Gold St, Centralia, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083327860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Pt Northwest Of Longview, Inc 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Pt Northwest Of Longview, Inc 1714 S Gold St, Centralia, WA 98531-8951 Ph: (360) 360-5532 |
Mr. Jason Allen Buono, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1118 View Ave, Centralia, WA 98531 Phone: 360-736-5273 Fax: 360-736-5053 | |
Nancy Carol Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1809 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8844 Fax: 360-330-8623 | |
Ms. Nancy Marie Emerick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8627 Fax: 360-330-8786 | |
Keith Erik Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737 | |
Robert Prandi, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Colonial Dr Apt 305, Centralia, WA 98531 Phone: 360-330-9346 Fax: 360-330-9347 | |
Kenneth J Coombs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Alexander St, Centralia, WA 98531 Phone: 136-073-6408 Fax: 136-080-7214 |