| Lindsey Avery Wallace, PT, DPT | |
|
406 Central Ave S, Quincy, WA 98848-1226 | |
| (208) 596-6929 | |
| Not Available |
| Full Name | Lindsey Avery Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 406 Central Ave S, Quincy, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255075800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT.61256288 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Basin Hospital | Ephrata, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Public Hospital District No. 3 | 6709775166 | 20 |
| Provider Name | Grant County Public Hospital District No. 3 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Avery Wallace, PT, DPT 402 Q St Sw, Quincy, WA 98848-7802 Ph: (208) 596-6929 | Lindsey Avery Wallace, PT, DPT 406 Central Ave S, Quincy, WA 98848-1226 Ph: (208) 596-6929 |
Douglas R Diaz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Central Ave S, Quincy, WA 98848 Phone: 509-787-0569 | |
Dr. Alexander Edward Robinson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Central Ave S, Quincy, WA 98848 Phone: 509-787-0569 | |
Miss Anne Catherine Bergman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9448 Yakima Ln Nw, Quincy, WA 98848 Phone: 509-220-0131 | |
Amy York, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 10th Ave Sw, Quincy, WA 98848 Phone: 509-787-3531 Fax: 509-787-2016 |