| Kenneth Smith, PT | |
|
487a North Main St, Thayne, WY 83127 | |
| (307) 883-8877 | |
| (307) 883-8876 |
| Full Name | Kenneth Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 487a North Main St, Thayne, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558838185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1828 (Wyoming) | Primary |
| Provider Name | Red Tail Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710618483 PECOS PAC ID: 4880079565 Enrollment ID: O20220915003405 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Smith, PT Po Box 860, Thayne, WY 83127-0860 Ph: (307) 883-8877 | Kenneth Smith, PT 487a North Main St, Thayne, WY 83127 Ph: (307) 883-8877 |
Dr. Hayden Glen Datwyler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 | |
Jimmy Douglas Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway, #1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Dr. Clancy Clyde Brown, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy Ste 1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 | |
Daniel Dean Jeske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #1, Thayne, WY 83127 Phone: 307-883-7878 | |
David Stoker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a N Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876 | |
Mr. David Matthew Johnson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #6, Suite 1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877 |