Mr Brent Wesley Wahlberg Jr, RPT in Clarkston, WA

Mr Brent Wesley Wahlberg Jr, RPT is a Physical Therapist based in Clarkston, Washington. Mr Brent Wesley Wahlberg Jr is licensed to practice in Washington (license number PT00005041) and his current practice location is 725 6th St Ste 101, Clarkston, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 758-8510.

NPI number for Mr Brent Wesley Wahlberg Jr is 1225133663 and his current mailing address is 725 6th St Ste 101, Clarkston, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225133663.

Contact Information

	Mr Brent Wesley Wahlberg Jr, RPT
	725 6th St Ste 101, Clarkston, WA 99403-2006
	(509) 758-8510
	(509) 751-9149

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brent Wesley Wahlberg Jr
Gender	Male
Speciality	Physical Therapist
Location	725 6th St Ste 101, Clarkston, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1225133663
Provider Enumeration Date: 09/13/2006
Last Update Date: 02/11/2008

Medical Identifiers

Medical identifiers for Mr Brent Wesley Wahlberg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225133663	NPI	-	NPPES
131422	Other	WA	L AND I
7018757	Medicaid	WA
000010007644	Other		BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00005041 (Washington)	Primary
225100000X	Physical Therapist	PT396 (Idaho)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brent Wesley Wahlberg Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Brent Wesley Wahlberg Jr, RPT 725 6th St Ste 101, Clarkston, WA 99403-2006 Ph: (509) 758-8510	Mr Brent Wesley Wahlberg Jr, RPT 725 6th St Ste 101, Clarkston, WA 99403-2006 Ph: (509) 758-8510

Reviews and Comments

Physical Therapist in Clarkston, WA

Twin Rivers Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 725 6th St, Ste 101, Clarkston, WA 99403 Phone: 509-758-8510 Fax: 509-751-9149
Knelsen Twin Rivers Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 725 6th St, Clarkston, WA 99403 Phone: 508-769-0004
Thomas Clemens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 6th St, Clarkston, WA 99403 Phone: --
Ms. Brooksie K Larson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 433 Elm St, Clarkston, WA 99403 Phone: 509-758-5647 Fax: 509-758-5648
Mr. Donald Daryl Fredericksen, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1727 Ridgeview Dr, Clarkston, WA 99403 Phone: 509-780-2111
Valley Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 433 Elm Street, Clarkston, WA 99403 Phone: 509-758-5647 Fax: 509-758-5648

Mr Brent Wesley Wahlberg Jr, RPT - Physical Therapist in Clarkston, WA