| Katie Nicole Huibregtse, DPT | |
|
117 S 2nd St, Selah, WA 98942-1307 | |
| (509) 697-9109 | |
| (509) 697-9122 |
| Full Name | Katie Nicole Huibregtse |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 117 S 2nd St, Selah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821385154 | NPI | - | NPPES |
| P00969335 | Other | WA | RR MEDICARE |
| 1821385154 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30212286 (Washington) | Primary |
| Provider Name | Pro-motion Physical Therapy And Functional Fitness Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174740708 PECOS PAC ID: 2961551213 Enrollment ID: O20090518000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Nicole Huibregtse, DPT 11481 Sw Hall Blvd, Suite 201, Portland, OR 97223-8403 Ph: (800) 219-8835 | Katie Nicole Huibregtse, DPT 117 S 2nd St, Selah, WA 98942-1307 Ph: (509) 697-9109 |
Mr. Greg A Waters, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 304 S 1st St, Suite A, Selah, WA 98942 Phone: 509-697-5330 Fax: 509-697-5355 | |
Jarron Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 S 2nd St, Selah, WA 98942 Phone: 509-697-9109 Fax: 509-697-9122 | |
Samantha Grace Blomdahl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 S 1st St Ste 2, Selah, WA 98942 Phone: 509-697-9109 | |
Brenda Jo Yost, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 S 1st St Ste A, Selah, WA 98942 Phone: 509-697-5330 | |
Margaret M Imrie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Lampe Rd, Selah, WA 98942 Phone: 509-697-7080 | |
Erin L Morris, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 304 S 1st St, Suite A, Selah, WA 98942 Phone: 509-697-5330 |