| Phenix Physical Therapy & Personal Wellness, Llc | |
|
1301 4th Ave Nw, Suite 300, Issaquah, WA 98027-9371 | |
| (425) 395-7317 | |
| (425) 395-7319 |
| Full Name | Phenix Physical Therapy & Personal Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1301 4th Ave Nw, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538550926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00007633 (Washington) | Primary |
| 225700000X | Massage Therapist | MA00012293 (Washington) | Secondary |
| Provider Name | Reid M Kuether |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699784082 PECOS PAC ID: 5395728216 Enrollment ID: I20040611000155 |
| Provider Name | Kathryn G Mccurry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871877100 PECOS PAC ID: 4981833191 Enrollment ID: I20140211001511 |
| Provider Name | Connell Totten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174145858 PECOS PAC ID: 5294156840 Enrollment ID: I20210604002641 |
| Provider Name | Tyler J. Sheldon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114529443 PECOS PAC ID: 8921412628 Enrollment ID: I20220919000425 |
| Provider Name | Greta Jean Tvedt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386376341 PECOS PAC ID: 2264817576 Enrollment ID: I20220921003635 |
| Mailing Address | Practice Location Address |
|---|---|
| Phenix Physical Therapy & Personal Wellness, Llc 1301 4th Ave Nw, Suite 300, Issaquah, WA 98027-9371 Ph: (425) 395-7317 | Phenix Physical Therapy & Personal Wellness, Llc 1301 4th Ave Nw, Suite 300, Issaquah, WA 98027-9371 Ph: (425) 395-7317 |
Beth Simon Crabtree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Ste 104, Issaquah, WA 98027 Phone: 425-392-7989 Fax: 425-391-2554 | |
Kyle Brandon Mark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Suite 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Nattika Detskultorn, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 4th Ave Nw Ste 100, Issaquah, WA 98027 Phone: 425-392-7989 | |
Jhansi Juluri, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Nw Gilman Blvd Ste 200, Issaquah, WA 98027 Phone: 425-392-6804 Fax: 425-392-6805 | |
Rebekah D Ley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6520 226th Pl Se, Suite 205, Issaquah, WA 98027 Phone: 425-392-8611 Fax: 425-392-9012 | |
Kevin Michael Traupmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Ms. Cathy A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Gilman Blvd, Suite A, Issaquah, WA 98027 Phone: 425-313-3055 Fax: 425-313-3051 |