| Silver Saguaro Llc | |
|
812 Valley St, Prescott, AZ 86305-1826 | |
| (469) 915-4211 | |
| Not Available |
| Full Name | Silver Saguaro Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 812 Valley St, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417710542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jacob Lee Bean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588805907 PECOS PAC ID: 7911036280 Enrollment ID: I20120906000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Saguaro Llc 6820 El Dorado Dr, Prescott, AZ 86303-6526 Ph: (469) 915-4211 | Silver Saguaro Llc 812 Valley St, Prescott, AZ 86305-1826 Ph: (469) 915-4211 |
Jack C. Furr Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1983 Commerce Center Circle, Prescott, AZ 86301 Phone: 928-771-1700 Fax: 928-771-9900 | |
Dr. Darcy D Myers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3195 Stillwater Dr, Ste A, Prescott, AZ 86305 Phone: 928-771-8156 | |
Dr. Damon John Grandy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Mrs. Janelle Hicks Goligoski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Dr. Mikaela F Colner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005 | |
Cheryl Ann Newman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3623 Crossings Dr Ste 282, Prescott, AZ 86305 Phone: 928-296-9285 | |
Christopher Cox Legler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Iron Springs Rd, Prescott, AZ 86305 Phone: 928-771-2977 Fax: 928-771-2987 |