| Proactive Physical Therapy Pc | |
|
317 N Faler Ave, Pinedale, WY 82941 | |
| (307) 367-6236 | |
| (307) 367-3332 |
| Full Name | Proactive Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 317 N Faler Ave, Pinedale, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184814345 | NPI | - | NPPES |
| 1163001 | Other | WY | BLUE CROSS BLUE SHIELD |
| Provider Name | Mark L Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801949045 PECOS PAC ID: 7810091527 Enrollment ID: I20070404000524 |
| Provider Name | Susan M Holz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578571071 PECOS PAC ID: 2860393691 Enrollment ID: I20101104000436 |
| Provider Name | Cassandra D Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336473743 PECOS PAC ID: 5193964781 Enrollment ID: I20130611000538 |
| Provider Name | Leanne Parks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053592154 PECOS PAC ID: 4082800156 Enrollment ID: I20150714001719 |
| Provider Name | Craig R Hadfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659710978 PECOS PAC ID: 2668606088 Enrollment ID: I20150805009469 |
| Provider Name | Nikki C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043700669 PECOS PAC ID: 1850796939 Enrollment ID: I20210827001336 |
| Provider Name | Emily Cecelia Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548093883 PECOS PAC ID: 0941740419 Enrollment ID: I20240917002741 |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Physical Therapy Pc Po Box 1037, Pinedale, WY 82941-1037 Ph: (307) 367-6236 | Proactive Physical Therapy Pc 317 N Faler Ave, Pinedale, WY 82941 Ph: (307) 367-6236 |
Christen Elaine Thonhoff, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Ms. Stephanie Megan Bruce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Erica Anne Walrath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave., Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Amy J. Hughes, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Mrs. Terri Dever Neal, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Allison Ruddle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 W Wilson St # 8, Pinedale, WY 82941 Phone: 307-367-3452 | |
Ms. Susan M. Holz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 |