| Mt. Stuart P.t., P.s. | |
|
10171a Chumstick Hwy, Leavenworth, WA 98826-8762 | |
| (509) 548-3133 | |
| (509) 548-5356 |
| Full Name | Mt. Stuart P.t., P.s. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10171a Chumstick Hwy, Leavenworth, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295805737 | NPI | - | NPPES |
| 7105752 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Washington) | Primary |
| Provider Name | Wayne M Latimer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679615678 PECOS PAC ID: 3971672270 Enrollment ID: I20080513000083 |
| Provider Name | Randy R Zolman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629007935 PECOS PAC ID: 5294806790 Enrollment ID: I20080611000094 |
| Provider Name | Luke Paul Astell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659455418 PECOS PAC ID: 5597759282 Enrollment ID: I20101214001350 |
| Provider Name | Benjamin Troy Gilkison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205351483 PECOS PAC ID: 3375818354 Enrollment ID: I20170929003056 |
| Provider Name | Rezelyn Millan Pamaong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528449063 PECOS PAC ID: 4082005897 Enrollment ID: I20220104002391 |
| Provider Name | Deborah Kaye Deshazo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902582091 PECOS PAC ID: 8224499132 Enrollment ID: I20230725001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Stuart P.t., P.s. 10171a Chumstick Hwy, Leavenworth, WA 98826-8762 Ph: (509) 548-3133 | Mt. Stuart P.t., P.s. 10171a Chumstick Hwy, Leavenworth, WA 98826-8762 Ph: (509) 548-3133 |
Ms. Nancy Ann Bywater-johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Mr. Chris Stephen Allen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Fox Hollow Rd, Leavenworth, WA 98826 Phone: 206-963-5133 | |
Sonia M Karumsi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Mr. Luke Paul Astell, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 | |
Dr. Trisha Wilkie Self, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10171 Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 | |
Mr. William Young Iii, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10171a Chumstick Hwy, Leavenworth, WA 98826 Phone: 509-548-3133 Fax: 509-548-5356 |