| Damian Loucks, | |
|
501 N Navajo Dr, Page, AZ 86040-0959 | |
| (928) 645-2424 | |
| Not Available |
| Full Name | Damian Loucks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 501 N Navajo Dr, Page, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215714407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 61460795 (Washington) | Primary |
| Provider Name | Kitsap Physical Therapy and Sports Clinic PS Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Provider Name | Public Hospital District No 4 King County Washington |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Provider Name | Northwest Center for Sports Medicine & Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982755070 PECOS PAC ID: 1759278542 Enrollment ID: O20150728005642 |
| Mailing Address | Practice Location Address |
|---|---|
| Damian Loucks, 501 N Navajo Dr, Page, AZ 86040-0959 Ph: (928) 645-2424 | Damian Loucks, 501 N Navajo Dr, Page, AZ 86040-0959 Ph: (928) 645-2424 |
Barbara Bananov, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 6th Ave # 3304, Page, AZ 86040 Phone: 212-444-2678 |
Dr. George Wertz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 6th Ave, Page, AZ 86040 Phone: 928-645-5780 Fax: 928-433-4992 |
Theodore Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 6th Avenue, Page, AZ 86040 Phone: 928-812-0152 |