| Tanner Mccloud Roche, PT, DPT | |
|
3257 Camino De Los Coches Ste 301, Carlsbad, CA 92009-8974 | |
| (310) 386-6788 | |
| (760) 652-5134 |
| Full Name | Tanner Mccloud Roche |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3257 Camino De Los Coches Ste 301, Carlsbad, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710763289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304807 (California) | Primary |
| Provider Name | Natural Health Sports Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982930392 PECOS PAC ID: 4688900699 Enrollment ID: O20190730000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Mccloud Roche, PT, DPT 4747 Marina Dr Apt 10, Carlsbad, CA 92008-4240 Ph: (949) 235-3951 | Tanner Mccloud Roche, PT, DPT 3257 Camino De Los Coches Ste 301, Carlsbad, CA 92009-8974 Ph: (310) 386-6788 |
Dr. Victoria Wood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 Fax: 760-918-9203 | |
Mariaandrea Garro, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2712 Madison St, Carlsbad, CA 92008 Phone: 760-729-5433 Fax: 760-729-1764 | |
Amy Gonzales, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3229 Avenida De Sueno, Carlsbad, CA 92009 Phone: 760-505-0035 | |
Erika England, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6102 Avenida Encinas, Suite E, Carlsbad, CA 92011 Phone: 760-634-9750 Fax: 760-634-9752 | |
Dr. Rachel Berman Mallory, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 | |
Heather Berryhill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6070 Avenida Encinas # 100, Carlsbad, CA 92011 Phone: 760-388-6475 | |
Jenifer Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7524 Gibraltar St, Unit C, Carlsbad, CA 92009 Phone: 805-795-4102 |