| Sunnyside Physical & Sports Therapy | |
|
1405 E Edison Ave, Sunnyside, WA 98944-1622 | |
| (509) 837-7400 | |
| (509) 837-5068 |
| Full Name | Sunnyside Physical & Sports Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1405 E Edison Ave, Sunnyside, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578589131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00009405 (Washington) | Primary |
| 225700000X | Massage Therapist | MA00017601 (Washington) | Secondary |
| Provider Name | Micah L Heeringa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033137757 PECOS PAC ID: 5294768131 Enrollment ID: I20050913000076 |
| Provider Name | Marlene T Vanwingerden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285666370 PECOS PAC ID: 1254330723 Enrollment ID: I20061211000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Physical & Sports Therapy Po Box 90, Sunnyside, WA 98944-0090 Ph: (509) 837-7400 | Sunnyside Physical & Sports Therapy 1405 E Edison Ave, Sunnyside, WA 98944-1622 Ph: (509) 837-7400 |
Micah L Heeringa, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 E Edison Ave, Sunnyside, WA 98944 Phone: 509-837-7400 Fax: 509-837-5068 | |
Mr. Dyke Charles Dickie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 841 E Lincoln Ave, Sunnyside, WA 98944 Phone: 509-839-0414 Fax: 509-839-8847 | |
Complete Therapy Services, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 716 E Edison Ave, Sunnyside, WA 98944 Phone: 509-837-4455 Fax: 509-837-6299 | |
Marlene T Vanwingerden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 E Edison Ave, Sunnyside, WA 98944 Phone: 509-837-7400 Fax: 509-837-5068 | |
Mr. Michael G Hollenberg, M.S.P.T., CERT M.D.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 716 E Edison Ave, Sunnyside, WA 98944 Phone: 509-837-4455 Fax: 509-837-6299 | |
Dr. Kayla Withers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 716 E Edison Ave, Sunnyside, WA 98944 Phone: 509-837-4455 |