| Mr Royce R Larson, | |
|
1900 Cooks Hill Rd, Centralia, WA 98531-9073 | |
| (360) 330-8627 | |
| Not Available |
| Full Name | Mr Royce R Larson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1900 Cooks Hill Rd, Centralia, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356400816 | NPI | - | NPPES |
| LA0611 | Other | WA | REGENCE |
| 8340929 | Medicaid | WA | |
| 69841 | Other | WA | L & I |
| PT00002427 | Other | WA | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00002427 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Royce R Larson, Po Box 84646, Seattle, WA 98124-5946 Ph: () - | Mr Royce R Larson, 1900 Cooks Hill Rd, Centralia, WA 98531-9073 Ph: (360) 330-8627 |
Mr. Jason Allen Buono, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1118 View Ave, Centralia, WA 98531 Phone: 360-736-5273 Fax: 360-736-5053 | |
Nancy Carol Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1809 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8844 Fax: 360-330-8623 | |
Ms. Nancy Marie Emerick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8627 Fax: 360-330-8786 | |
Keith Erik Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737 | |
Robert Prandi, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Colonial Dr Apt 305, Centralia, WA 98531 Phone: 360-330-9346 Fax: 360-330-9347 | |
Kenneth J Coombs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Alexander St, Centralia, WA 98531 Phone: 136-073-6408 Fax: 136-080-7214 | |
Mrs. Lisa Marie Faust, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737 |