| Twin Rivers Physical Therapy, Llc | |
|
725 6th St, Ste 101, Clarkston, WA 99403-2006 | |
| (509) 758-8510 | |
| (509) 751-9149 |
| Full Name | Twin Rivers Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 725 6th St, Clarkston, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003982745 | NPI | - | NPPES |
| 7018757 | Medicaid | WA | |
| 000010007644 | Other | BLUE SHIELD | |
| 131422 | Other | WA | LI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT396 (Idaho) | Secondary |
| 225100000X | Physical Therapist | PT00005041 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Rivers Physical Therapy, Llc 725 6th St, Ste 101, Clarkston, WA 99403-2006 Ph: (509) 758-8510 | Twin Rivers Physical Therapy, Llc 725 6th St, Ste 101, Clarkston, WA 99403-2006 Ph: (509) 758-8510 |
Knelsen Twin Rivers Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 725 6th St, Clarkston, WA 99403 Phone: 508-769-0004 | |
Thomas Clemens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 6th St, Clarkston, WA 99403 Phone: -- | |
Ms. Brooksie K Larson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 433 Elm St, Clarkston, WA 99403 Phone: 509-758-5647 Fax: 509-758-5648 | |
Mr. Donald Daryl Fredericksen, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1727 Ridgeview Dr, Clarkston, WA 99403 Phone: 509-780-2111 | |
Mr. Brent Wesley Wahlberg Jr., RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 6th St Ste 101, Clarkston, WA 99403 Phone: 509-758-8510 Fax: 509-751-9149 | |
Valley Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 433 Elm Street, Clarkston, WA 99403 Phone: 509-758-5647 Fax: 509-758-5648 |