| Ms Susan M Holz, DPT | |
|
317 N Faler Ave, Pinedale, WY 82941 | |
| (307) 367-6236 | |
| (307) 367-3332 |
| Full Name | Ms Susan M Holz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 317 N Faler Ave, Pinedale, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578571071 | NPI | - | NPPES |
| 303230 | Other | WY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT220 (Wyoming) | Primary |
| Provider Name | Proactive Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184814345 PECOS PAC ID: 0648171462 Enrollment ID: O20040115000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan M Holz, DPT Po Box 1037, Pinedale, WY 82941-1037 Ph: (307) 367-6236 | Ms Susan M Holz, DPT 317 N Faler Ave, Pinedale, WY 82941 Ph: (307) 367-6236 |
Christen Elaine Thonhoff, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Ms. Stephanie Megan Bruce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Erica Anne Walrath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave., Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Amy J. Hughes, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Mrs. Terri Dever Neal, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Allison Ruddle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 W Wilson St # 8, Pinedale, WY 82941 Phone: 307-367-3452 |