Tanner Bohl, | |
1408 Lake Tapps Pkwy Se Ste E105, Auburn, WA 98092-8158 | |
(253) 260-6614 | |
Not Available |
Full Name | Tanner Bohl |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1408 Lake Tapps Pkwy Se Ste E105, Auburn, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487495271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PU61524107 (Washington) | Primary |
Provider Name | Outpatient Physical Therapy & Sports Rehabilitation Inc Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730394420 PECOS PAC ID: 3678487063 Enrollment ID: O20031119000148 |
Mailing Address | Practice Location Address |
---|---|
Tanner Bohl, 21318 18th St E, Lake Tapps, WA 98391-9326 Ph: (253) 987-9220 | Tanner Bohl, 1408 Lake Tapps Pkwy Se Ste E105, Auburn, WA 98092-8158 Ph: (253) 260-6614 |
Jace Phillips, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 12th St Se, Auburn, WA 98002 Phone: 253-735-3606 Fax: 253-351-9807 | |
Dr. Yuanmin Zhang, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 E Main St Unit 320, Auburn, WA 98002 Phone: 858-888-6673 | |
Richard C. Wahlgren, M-PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 3rd St Ne, Auburn, WA 98002 Phone: 253-833-7750 Fax: 253-887-9804 | |
Chelsea Ryen Witt, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 407 E Main St, Auburn, WA 98002 Phone: 253-545-0044 | |
Rey Hermann Baltazar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 110, Auburn, WA 98001 Phone: 253-545-0044 Fax: 253-545-0043 | |
Celeste Misko, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17500 Se 392nd St, Auburn, WA 98092 Phone: 253-939-6648 |