| Tanner Sand, PT, DPT | |
|
1260 Valley View Dr, Council Bluffs, IA 51503-5245 | |
| (712) 396-2000 | |
| Not Available |
| Full Name | Tanner Sand |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1260 Valley View Dr, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073350435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4668 (Nebraska) | Secondary |
| 225100000X | Physical Therapist | CP032087T (Iowa) | Primary |
| Provider Name | Orthowest, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275641904 PECOS PAC ID: 8921086893 Enrollment ID: O20040714001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Sand, PT, DPT 11435 Gertrude Ct Apt 303, La Vista, NE 68128-4794 Ph: () - | Tanner Sand, PT, DPT 1260 Valley View Dr, Council Bluffs, IA 51503-5245 Ph: (712) 396-2000 |
Jennifer Nourse, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Sherwood Dr, Council Bluffs, IA 51503 Phone: 712-322-1000 | |
Bridget Epperson, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Valley View Dr, Suite 7, Council Bluffs, IA 51503 Phone: 712-256-1800 | |
Alisha Baas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 | |
Ronald Reales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Elliott St, Council Bluffs, IA 51503 Phone: 712-328-9500 | |
Dr. Gilbert M. Willett, P.T., PH.D. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 | |
Dr. Nicholas Anthony Mouw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Edmundson Place, Suite 500, Council Bluffs, IA 51503 Phone: 712-388-0173 |