| Mckenzi Petricko, | |
|
3510 Avenue B Ste A, Scottsbluff, NE 69361-4333 | |
| (308) 633-7878 | |
| (308) 633-7018 |
| Full Name | Mckenzi Petricko |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3510 Avenue B Ste A, Scottsbluff, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730873043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4514 (Nebraska) | Primary |
| Provider Name | Bluffs Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821591744 PECOS PAC ID: 7315200649 Enrollment ID: O20180418002232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzi Petricko, 3510 Avenue B Ste A, Scottsbluff, NE 69361-4333 Ph: (308) 633-7878 | Mckenzi Petricko, 3510 Avenue B Ste A, Scottsbluff, NE 69361-4333 Ph: (308) 633-7878 |
Allison Nicole Gibbins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 W 38th St, Scottsbluff, NE 69361 Phone: 308-633-1235 | |
Bpt Diagnostics Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3510 Avenue B, Scottsbluff, NE 69361 Phone: 308-633-7878 Fax: 308-633-7018 | |
Kael Juelfs, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3510 Avenue B, Scottsbluff, NE 69361 Phone: 308-633-7878 | |
Carl D Baird, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 W 38th St, Scottsbluff, NE 69361 Phone: 308-633-2025 Fax: 308-633-2029 | |
Katie Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 W 27th St, Scottsbluff, NE 69361 Phone: 308-633-2900 Fax: 308-575-0334 | |
Amber Rose Mclaughlin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-1355 | |
Ms. Cynthia Lou Cochran, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W 36th St, Scottsbluff, NE 69361 Phone: 308-635-2019 |