| Transformative Pain Care And Physical Therapy Pllc | |
|
1410 Valley View Dr Ste 309, Delta, CO 81416-3130 | |
| (970) 639-1948 | |
| (970) 808-2006 |
| Full Name | Transformative Pain Care And Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1410 Valley View Dr Ste 309, Delta, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225715345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Kevin R Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710216320 PECOS PAC ID: 7719174200 Enrollment ID: I20101209001325 |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Pain Care And Physical Therapy Pllc 546 Apricot Ln, Delta, CO 81416-3067 Ph: (970) 639-1948 | Transformative Pain Care And Physical Therapy Pllc 1410 Valley View Dr Ste 309, Delta, CO 81416-3130 Ph: (970) 639-1948 |
Brenda Nordstrom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Jeanne A. Hergenrother, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Deann Lynn Thomas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-0701 | |
Pamela Anne Joy Fox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 South Main, Delta, CO 81416 Phone: 970-874-9773 | |
Kari Graceland Ritter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 S Main St, Delta, CO 81416 Phone: 970-874-9773 | |
Rmts Delta Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 257 Cottonwood St, Delta, CO 81416 Phone: 970-874-6111 Fax: 970-874-6116 |