Mrs Sarah Banister, DPT | |
832 Nighthawk Avenue, Building 832, Holloman Afb, NM 88330 | |
(575) 572-4070 | |
Not Available |
Full Name | Mrs Sarah Banister |
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Gender | Female |
Speciality | Physical Therapist |
Location | 832 Nighthawk Avenue, Holloman Afb, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376104141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2023-2117 (New Mexico) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kansas University Physicians Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Provider Name | Arc Physical Therapy Plus Lp |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851715353 PECOS PAC ID: 6204050453 Enrollment ID: O20140610001428 |
Mailing Address | Practice Location Address |
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Mrs Sarah Banister, DPT 832 Nighthawk Avenue, Building 832, Holloman Afb, NM 88330 Ph: () - | Mrs Sarah Banister, DPT 832 Nighthawk Avenue, Building 832, Holloman Afb, NM 88330 Ph: (575) 572-4070 |
Garret Anthony Wadsack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2797 San Andres Ct Apt B, Holloman Afb, NM 88330 Phone: 505-479-1050 | |
Jerome Carlos Malimban, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-0899 | |
Levi Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-3564 | |
Kaitlyn M Shaughnessy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Mdg, 280 David L. Goldfein St, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-8860 | |
Unna Camille Mangune, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-0889 | |
Dr. John David Paz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-2778 |