Shelley Clark, DPT | |
2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 | |
(605) 661-0879 | |
Not Available |
Full Name | Shelley Clark |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2803 Rockridge Ct Apt 5, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003196718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2759 (Idaho) | Secondary |
225100000X | Physical Therapist | 1544 (South Dakota) | Secondary |
225100000X | Physical Therapist | 2157 (Montana) | Primary |
Provider Name | Heuiser Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922109628 PECOS PAC ID: 6901892231 Enrollment ID: O20040422000775 |
Mailing Address | Practice Location Address |
---|---|
Shelley Clark, DPT 2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 Ph: (605) 661-0879 | Shelley Clark, DPT 2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 Ph: (605) 661-0879 |
Rachael Herynk, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1705 Bow St, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Rhonda Wakai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 Harve Ave, #2, Missoula, MT 59801 Phone: 406-542-0808 Fax: 406-542-0909 | |
Dr. Matthew Schumacher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 | |
Mr. John Fiore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2207 S 3rd St W, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Jennifer K Helmer, MSPT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-543-0617 Fax: 406-728-1085 | |
Catherine B Gilbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 |