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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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 | PT00005041 (Washington) | Primary |
225100000X | Physical Therapist | PT396 (Idaho) | Secondary |
Provider Name | Clifford P Knelsen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750320677 PECOS PAC ID: 1759557754 Enrollment ID: I20120524000623 |
Provider Name | Cheryl L Rudd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033372677 PECOS PAC ID: 5890913396 Enrollment ID: I20140825002599 |
Provider Name | Jessica Printz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700334463 PECOS PAC ID: 9931510153 Enrollment ID: I20201119001040 |
Provider Name | Zachary Maas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487327144 PECOS PAC ID: 0143628396 Enrollment ID: I20211001002777 |
Mailing Address | Practice Location Address |
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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 |