| Mr Richard M King, PT | |
|
321 Burdin Blvd, Grand Coulee, WA 99133-0680 | |
| (509) 633-3260 | |
| (509) 633-3212 |
| Full Name | Mr Richard M King |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 321 Burdin Blvd, Grand Coulee, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467542894 | NPI | - | NPPES |
| 1044342 | Medicaid | WA | |
| 337847 | Other | WA | L&I |
| G8951875 | Other | WA | MDCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00003909 (Washington) | Primary |
| Provider Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard M King, PT 411 Fortuyn Rd, Grand Coulee, WA 99133 Ph: (509) 633-3260 | Mr Richard M King, PT 321 Burdin Blvd, Grand Coulee, WA 99133-0680 Ph: (509) 633-3260 |
Anna Hardesty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Richard M King Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Blvd, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 | |
Dr. Kai Scott, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Boulevard, Grand Coulee, WA 99133 Phone: 509-633-3260 | |
Charlene Marie Desautel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 | |
Kelly J Prather, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 Phone: 509-633-3260 Fax: 509-633-3212 |