| Mr Mark Andrew Smith, PT | |
|
125 S Mcdaniel Dr, Auburn, CA 95603-5742 | |
| (530) 906-8301 | |
| Not Available |
| Full Name | Mr Mark Andrew Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 125 S Mcdaniel Dr, Auburn, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396124558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 21183 (California) | Primary |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Andrew Smith, PT 125 S Mcdaniel Dr, Auburn, CA 95603-5742 Ph: (530) 906-8301 | Mr Mark Andrew Smith, PT 125 S Mcdaniel Dr, Auburn, CA 95603-5742 Ph: (530) 906-8301 |
Jennifer Goff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11600 Education St, Auburn, CA 95602 Phone: 530-889-0707 Fax: 530-889-1383 | |
Ken Rescate, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2145 Bell Road, #215, Auburn, CA 95603 Phone: 916-765-1737 | |
Ms. Diane Jean Buckman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11960 Heritage Oak Pl, Suite 17, Auburn, CA 95603 Phone: 916-412-3985 | |
Mr. Joseph Nicholas Ranalla, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11879 Kemper Road, Suite 4, Auburn, CA 95603 Phone: 530-885-3940 Fax: 530-885-3984 | |
Augustus C Devries, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11930 Heritage Oak Pl, Suite 9, Auburn, CA 95603 Phone: 530-887-8785 Fax: 530-887-8112 | |
Kristin L Walstad, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11930 Heritage Oak Pl, Suite 9, Auburn, CA 95603 Phone: 530-887-8785 Fax: 530-887-8112 | |
Mr. Theodore Craig Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Elm Ave, Auburn, CA 95603 Phone: 530-889-2411 Fax: 530-889-2451 |