| Nolan Wesley Kellow, DPT | |
|
144 169th St S, Suite B, Spanaway, WA 98387-8201 | |
| (253) 846-8918 | |
| (253) 846-8126 |
| Full Name | Nolan Wesley Kellow |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 144 169th St S, Spanaway, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972836658 | NPI | - | NPPES |
| 0048KE | Other | WA | REGENCE BLUE SHIELD |
| 0253931 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT60100044 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benchmark Physical Therapy Of Oregon Llc | 0143510602 | 105 |
| Provider Name | Benchmark Physical Therapy Of Oregon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan Wesley Kellow, DPT 9315 Gravelly Lake Dr Sw, Lakewood, WA 98499-1574 Ph: (253) 581-5200 | Nolan Wesley Kellow, DPT 144 169th St S, Suite B, Spanaway, WA 98387-8201 Ph: (253) 846-8918 |
Colton Kenneth Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Miss Sejal J. Gajarawala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 160th St S, Ste 301, Spanaway, WA 98387 Phone: 253-531-4100 Fax: 253-531-3795 | |
Justin Nicolas Robinson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
George Gay, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Signia A Ray, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 160th St S, Suite 301, Spanaway, WA 98387 Phone: 253-531-4100 Fax: 253-531-3795 | |
Michael Larkin Mulligan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8918 | |
Jonathan Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19321 Mountain Hwy E Ste 100, Spanaway, WA 98387 Phone: 253-846-8618 |