Blake H Lavin, DPT | |
6066 Highway 291, Nine Mile Falls, WA 99026-5008 | |
(509) 465-5663 | |
(509) 467-8663 |
Full Name | Blake H Lavin |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6066 Highway 291, Nine Mile Falls, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427879451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT61584366 (Washington) | Primary |
Provider Name | Phase 1 Physical Therapy Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235189135 PECOS PAC ID: 2860595071 Enrollment ID: O20070308000380 |
Mailing Address | Practice Location Address |
---|---|
Blake H Lavin, DPT Po Box 549, Nine Mile Falls, WA 99026-0549 Ph: (509) 465-5663 | Blake H Lavin, DPT 6066 Highway 291, Nine Mile Falls, WA 99026-5008 Ph: (509) 465-5663 |
Joel T San Nicolas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5928 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Phase 1 Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 5928 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Greater Spokane Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W 13011 Shore Road, Nine Mile Falls, WA 99026 Phone: 509-991-5678 Fax: 509-328-7802 |