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513 1st Ave, Zillah, WA 98953-9432 | |
| (509) 829-5230 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 513 1st Ave, Zillah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255779732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Micah L Heeringa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033137757 PECOS PAC ID: 5294768131 Enrollment ID: I20050913000076 |
| Provider Name | Boanerges Gazelem Guzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083397475 PECOS PAC ID: 7416301205 Enrollment ID: I20230927003589 |
| Mailing Address | Practice Location Address |
|---|---|
513 1st Ave, Zillah, WA 98953-9432 Ph: (509) 829-5230 | 513 1st Ave, Zillah, WA 98953-9432 Ph: (509) 829-5230 |
Brandon Bischoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 1st Ave, Zillah, WA 98953 Phone: 509-829-5230 Fax: 509-829-5269 | |
Boanerges Guzman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 513 1st Ave, Zillah, WA 98953 Phone: 509-829-5230 | |
Rita Miranda Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1016 Schoentrup Ln, Zillah, WA 98953 Phone: 503-975-1212 | |
Andrew Reed Daley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 513 1st Ave, Zillah, WA 98953 Phone: 509-829-5230 Fax: 509-829-5269 |