| Dakota Kay, PT | |
|
200 W Hospital Dr, Whiteriver, AZ 85941-3606 | |
| (928) 383-3606 | |
| Not Available |
| Full Name | Dakota Kay |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 200 W Hospital Dr, Whiteriver, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033767371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-30801 (Arizona) | Primary |
| Provider Name | Dhhs Phs Naihs Crownpoint Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
| Provider Name | Dhhs Ihs Phoenix Area |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Kay, PT P.o. Box 649, Fort Defiance, AZ 86504-0589 Ph: () - | Dakota Kay, PT 200 W Hospital Dr, Whiteriver, AZ 85941-3606 Ph: (928) 383-3606 |
Mr. Michael Ronald Huylebroeck, P.T.. M.B.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3611 | |
Mr. Scott Philip Gaustad, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3610 Fax: 928-338-3522 | |
Cj Duncan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 W. Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3606 | |
Charles L Cole, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 W Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3634 Fax: 928-338-3540 | |
Mckayla Mashburn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Dr., Whiteriver, AZ 85941 Phone: 928-338-4911 | |
Miss Amanda Kaye Swallow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522 |