| Jordan Elizabeth Prutzer, DPT | |
|
2160 Sandy Dr Ste A, State College, PA 16803-2205 | |
| (814) 861-8122 | |
| (814) 861-4292 |
| Full Name | Jordan Elizabeth Prutzer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2160 Sandy Dr Ste A, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225647027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT031772 (Pennsylvania) | Primary |
| Provider Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Elizabeth Prutzer, DPT 2160 Sandy Dr Ste A, State College, PA 16803-2205 Ph: (814) 261-8122 | Jordan Elizabeth Prutzer, DPT 2160 Sandy Dr Ste A, State College, PA 16803-2205 Ph: (814) 861-8122 |
Easter Seals Central Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 383 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-1911 | |
Heather B Walker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Lindsey R Chura, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Dr. Kayla L Gee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 112, State College, PA 16803 Phone: 814-865-3566 | |
Kathryn Sherril Nieman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 177 Champion Dr Ste 100, State College, PA 16803 Phone: 814-238-3485 Fax: 814-692-2272 | |
Andrew J Renaud, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803 Phone: 814-865-3566 Fax: 814-235-2492 | |
Brian W Schulz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave, Ste 112, State College, PA 16803 Phone: 800-243-1455 Fax: 814-863-7803 |