| Pt West Pc | |
|
100 S Main, Gordon, NE 69343-1618 | |
| (308) 282-0203 | |
| (308) 282-1276 |
| Full Name | Pt West Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 100 S Main, Gordon, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245323831 | NPI | - | NPPES |
| 5831283 | Medicaid | SD | |
| 39986 | Other | NE | BLUE CROSS |
| 10025453000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 651 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pt West Pc Po Box 28, 100 South Main, Gordon, NE 69343-1618 Ph: (308) 282-0203 | Pt West Pc 100 S Main, Gordon, NE 69343-1618 Ph: (308) 282-0203 |
Kimberly Marlatt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Main, Gordon, NE 69343 Phone: 308-282-0203 Fax: 308-282-1276 | |
Mr. Bryan Felker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E 8th St, Gordon, NE 69343 Phone: 308-282-0401 Fax: 308-282-0431 |