| Cody Vandersloot, | |
|
1902 Sw 9th Ave Ste 101, Battle Ground, WA 98604-3286 | |
| (360) 723-0797 | |
| (360) 723-0792 |
| Full Name | Cody Vandersloot |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1902 Sw 9th Ave Ste 101, Battle Ground, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578347472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | New Proactive Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170803000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Vandersloot, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (334) 231-5364 | Cody Vandersloot, 1902 Sw 9th Ave Ste 101, Battle Ground, WA 98604-3286 Ph: (360) 723-0797 |
Kelsey J Peck, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 720 W Main St Ste 102, Battle Ground, WA 98604 Phone: 360-254-6161 Fax: 360-449-1146 | |
Mrs. Peggy Hanik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1207 Se Rasmussen Blvd Ste 115, Battle Ground, WA 98604 Phone: 360-702-6494 Fax: 360-984-5845 | |
Brian James Kitzerow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2005 W Main St Ste 140, Battle Ground, WA 98604 Phone: 360-882-2778 | |
Lindsey Levanen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19700 Ne 157th Ave, Battle Ground, WA 98604 Phone: 360-723-0010 | |
David Cotteleer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 14109 Ne 258th St, Battle Ground, WA 98604 Phone: 607-329-2931 | |
Brett Windsor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2005 W Main St, Battle Ground, WA 98604 Phone: 360-882-2778 Fax: 360-604-1722 | |
Melissa Ramirez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1808 Sw 9th Ave Ste 101, Battle Ground, WA 98604 Phone: 360-723-0797 Fax: 360-723-0732 |