| |
19400 108th Ave Se, Suite 100, Kent, WA 98031-0108 | |
(425) 917-9885 | |
(253) 277-0737 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 19400 108th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326048364 | NPI | - | NPPES |
7293608 | Other | CIGNA | |
8351397 | Medicaid | WA | |
650021468 | Other | RR MEDICARE | |
147035 | Other | WA | DEPT OF VTT |
4465984 | Other | AETNA | |
5324J0 | Other | WA | REGENCE BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00002862 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
19400 108th Ave Se, Suite 100, Kent, WA 98031-0108 Ph: (425) 917-9885 | 19400 108th Ave Se, Suite 100, Kent, WA 98031-0108 Ph: (425) 917-9885 |
Christopher Shannon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13215 Se 240th St, Suite D, Kent, WA 98042 Phone: 253-631-3026 Fax: 253-631-3899 | |
Sarah E Bartholomew, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25012 104th Ave Se Ste C, Kent, WA 98030 Phone: 253-856-3477 Fax: 253-856-3478 | |
Mr. Rodney Copes, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 621 Van De Vanter Ave, Kent, WA 98030 Phone: 253-639-4370 Fax: 866-656-3551 | |
Julia Bakun, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8009 S 180th St Ste 112, Kent, WA 98032 Phone: 425-226-7827 | |
Brandi Agena, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22415 68th Ave S, Kent, WA 98032 Phone: 253-395-1131 |