| Michelle M Smith, OT | |
|
20910 Sr 410 E, Bonney Lake, WA 98391-6302 | |
| (253) 862-2575 | |
| Not Available |
| Full Name | Michelle M Smith |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 20910 Sr 410 E, Bonney Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265469993 | NPI | - | NPPES |
| 0193789 | Other | WA | L& |
| 8381857 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00003457 (Washington) | Primary |
| Provider Name | Bonney Lake Physical Therapy And Hand Rehab, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558509786 PECOS PAC ID: 8820155435 Enrollment ID: O20090326000358 |
| Provider Name | Highline Physical Therapy Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477797991 PECOS PAC ID: 8820172984 Enrollment ID: O20090810000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M Smith, OT 10722 440th St E, Eatonville, WA 98328-8027 Ph: () - | Michelle M Smith, OT 20910 Sr 410 E, Bonney Lake, WA 98391-6302 Ph: (253) 862-2575 |
Dr. Kristi Elise Greenfield, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 20910 State Route, Bonney Lake, WA 98319 Phone: 253-862-2575 | |
Ms. Sandra E Teter, OT, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9411 192nd Ave E Bldg D, Suite E, Bonney Lake, WA 98391 Phone: 253-268-5105 Fax: 253-258-3298 | |
Kristin Dedge, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20810 State Route 410 E, Bonney Lake, WA 98391 Phone: 253-447-8562 | |
Integrated Rehabilitation Group, Pc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9411 192nd Ave E, Building D, Suite E, Bonney Lake, WA 98391 Phone: 253-268-5105 Fax: 253-258-3298 | |
Pamela Jo Anderson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21106 Sr 410 E, Bonney Lake, WA 98391 Phone: 425-264-8401 | |
Austin J Walker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-987-7509 |