Transformative Pain Care And Physical Therapy Pllc | |
1410 Valley View Dr Ste 309, Delta, CO 81416-3130 | |
(970) 639-1948 | |
(970) 808-2006 |
Full Name | Transformative Pain Care And Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1410 Valley View Dr Ste 309, Delta, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225715345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Kevin R Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710216320 PECOS PAC ID: 7719174200 Enrollment ID: I20101209001325 |
Mailing Address | Practice Location Address |
---|---|
Transformative Pain Care And Physical Therapy Pllc 546 Apricot Ln, Delta, CO 81416-3067 Ph: (970) 639-1948 | Transformative Pain Care And Physical Therapy Pllc 1410 Valley View Dr Ste 309, Delta, CO 81416-3130 Ph: (970) 639-1948 |
Brenda Nordstrom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Jeanne A. Hergenrother, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Deann Lynn Thomas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-0701 | |
Pamela Anne Joy Fox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 South Main, Delta, CO 81416 Phone: 970-874-9773 | |
Kari Graceland Ritter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Valley Therapy Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 257 Cottonwood St, Delta, CO 81416 Phone: 970-874-6111 Fax: 970-874-6116 |