| Boanerges Guzman, DPT | |
|
513 1st Ave, Zillah, WA 98953-9432 | |
| (509) 829-5230 | |
| Not Available |
| Full Name | Boanerges Guzman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 513 1st Ave, Zillah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083397475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT61423712 (Washington) | Primary |
| Provider Name | Rmts Zillah Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255779732 PECOS PAC ID: 7012141781 Enrollment ID: O20131011000826 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750010120 PECOS PAC ID: 6507832573 Enrollment ID: O20220825000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Boanerges Guzman, DPT Po Box 540640, North Salt Lake, UT 84054-0640 Ph: (801) 987-8600 | Boanerges Guzman, DPT 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 | |
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 |