| Proformance Physical Therapy, Llc | |
|
840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 | |
| (509) 338-9204 | |
| Not Available |
| Full Name | Proformance Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 840 Se Bishop Blvd, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720012065 | NPI | - | NPPES |
| 7127467 | Medicaid | WA | |
| 0195909 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Troy T Vannucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336173681 PECOS PAC ID: 0749219384 Enrollment ID: I20050805000392 |
| Provider Name | Laura N Vannucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104844265 PECOS PAC ID: 4284663824 Enrollment ID: I20050805000436 |
| Provider Name | Brandon J Cridlebaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346431863 PECOS PAC ID: 7113011784 Enrollment ID: I20070913000695 |
| Provider Name | Brandon K Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164715652 PECOS PAC ID: 1355510058 Enrollment ID: I20140825002120 |
| Provider Name | Cheryl L Rudd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033372677 PECOS PAC ID: 5890913396 Enrollment ID: I20140825002599 |
| Provider Name | Sean M Knight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568879096 PECOS PAC ID: 1355569252 Enrollment ID: I20140905000163 |
| Provider Name | Cameron J. Avcu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275213670 PECOS PAC ID: 3274997077 Enrollment ID: I20230912004325 |
| Mailing Address | Practice Location Address |
|---|---|
| Proformance Physical Therapy, Llc 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 Ph: (509) 338-9204 | Proformance Physical Therapy, Llc 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5502 Ph: (509) 338-9204 |
Cheryl Lynn Rudd, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 | |
Elizabeth C Davis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 Fax: 509-334-5723 | |
Janessa Dunbar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Edward Charles Harkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Ave Ste B, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 | |
Krista M Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Se Klemgard St, Pullman, WA 99163 Phone: 509-288-2218 Fax: 801-495-5298 | |
Mrs. Kimberly Ann Williams, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 588 Se Bishop Blvd Ste A, Pullman, WA 99163 Phone: 509-332-7778 Fax: 509-332-7032 | |
Mrs. Laura Nakata Vannucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 |