Ryan Smith, PT, DPT | |
1010 Robert Bush Drive West, South Bend, WA 98586 | |
(360) 875-5543 | |
Not Available |
Full Name | Ryan Smith |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1010 Robert Bush Drive West, South Bend, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063274801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12213 (South Carolina) | Primary |
Provider Name | Pacific County Hospital District 2 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295708683 PECOS PAC ID: 8224939301 Enrollment ID: O20040120000991 |
Provider Name | Rehabvisions Therapy Wa, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265823694 PECOS PAC ID: 2961721378 Enrollment ID: O20150507000095 |
Mailing Address | Practice Location Address |
---|---|
Ryan Smith, PT, DPT 137 Blue Church Ct, Columbia, SC 29212-8800 Ph: () - | Ryan Smith, PT, DPT 1010 Robert Bush Drive West, South Bend, WA 98586 Ph: (360) 875-5543 |
Mr. Ernest Dale Geiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Robert Bush Drive, South Bend, WA 98586 Phone: 360-875-5543 Fax: 360-875-5544 | |
Trudi K Kulp, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1010 Robert Bush Drive West, South Bend, WA 98586 Phone: 360-875-5543 |