| Tennell Lynn Gilmore, PT | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2659 | |
| Not Available |
| Full Name | Tennell Lynn Gilmore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215260393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8631PT (Arizona) | Primary |
| Provider Name | Tuba City Regional Health Care Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Tennell Lynn Gilmore, PT Po Box 1538, Kayenta, AZ 86033-1538 Ph: (602) 291-5374 | Tennell Lynn Gilmore, PT 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2659 |
Mrs. Kristen M Balcerek, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Cheyenne Fox, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main St, Tuba City, AZ 86045 Phone: 866-976-5941 | |
Heidi L Fisher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Katherine J Bannon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Tate Shea Tsingine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main Steet, Tuba City, AZ 86045 Phone: 866-976-5941 | |
Lashawn Elam, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 928-283-2659 | |
Joli M Czamara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |