| Jeanette M Mckim, PT | |
|
5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512-7311 | |
| (564) 999-4146 | |
| Not Available |
| Full Name | Jeanette M Mckim |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5765 Littlerock Rd Sw Ste 107, Tumwater, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386631943 | NPI | - | NPPES |
| 0208917 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 6572TO | Other | WA | REGENCE |
| P00428344 | Other | WA | RAILROAD MEDICARE |
| 3686TO | Other | WA | REGENCE |
| 8455016 | Medicaid | WA | |
| 3246TO | Other | WA | REGENCE |
| 710883456-98502-A002 | Other | WA | TRICARE |
| 7393456 | Other | WA | AETNA |
| 4035TO | Other | WA | REGENCE BLUE SHIELD |
| 5682TO | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00008796 (Washington) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Jeanette M Mckim, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Jeanette M Mckim, PT 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512-7311 Ph: (564) 999-4146 |
Jordan Agtarap, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512 Phone: 564-999-4146 | |
Blossom Pediatric Therapy Pnw, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C210, Tumwater, WA 98501 Phone: 360-389-3706 | |
Integrated Rehab Group Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6981 Littlerock Rd Sw, Suite 105, Tumwater, WA 98512 Phone: 360-352-7352 Fax: 360-352-7680 | |
Ms. Sheena M Daniel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501 Phone: 360-493-4160 Fax: 360-493-4163 | |
Michael E O'brien, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Dennis St Sw, Suite A, Tumwater, WA 98501 Phone: 360-704-3300 Fax: 360-704-7676 | |
Lalani Shelton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Park Dr Sw, Tumwater, WA 98512 Phone: 360-790-0546 | |
William Walter Linnenkohl, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2755 Mottman Rd Sw, Tumwater, WA 98512 Phone: 360-352-5077 Fax: 360-352-5022 |