White Mountain Physical Therapy, Pllc | |
1040 Whittier Hwy, Unit 3, Moultonborough, NH 03254 | |
(603) 273-1570 | |
Not Available |
Full Name | White Mountain Physical Therapy, Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1040 Whittier Hwy, Moultonborough, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497372585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew E Kurz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548785579 PECOS PAC ID: 4587938972 Enrollment ID: I20190304001576 |
Provider Name | Hannah Kurz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447769419 PECOS PAC ID: 7719246909 Enrollment ID: I20201208001219 |
Provider Name | Justin Clark |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952020513 PECOS PAC ID: 4284010315 Enrollment ID: I20220927003144 |
Provider Name | Mikaela Leslie Shields |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073296695 PECOS PAC ID: 7416304803 Enrollment ID: I20231107000621 |
Mailing Address | Practice Location Address |
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White Mountain Physical Therapy, Pllc Po Box 601, Moultonborough, NH 03254-0601 Ph: (603) 273-1570 | White Mountain Physical Therapy, Pllc 1040 Whittier Hwy, Unit 3, Moultonborough, NH 03254 Ph: (603) 273-1570 |
Mikaela Leslie Shields, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Hwy, Moultonborough, NH 03254 Phone: 603-273-1570 | |
Justin Clark, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Highway, Unit 3, Moultonborough, NH 03254 Phone: 603-273-1570 Fax: 603-255-3559 |