| Walla Walla Physical Therapy Center Aps | |
|
275 W Tietan St, Walla Walla, WA 99362-4363 | |
| (509) 522-0114 | |
| (509) 522-9868 |
| Full Name | Walla Walla Physical Therapy Center Aps |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 275 W Tietan St, Walla Walla, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477574606 | NPI | - | NPPES |
| 1306849955 | Other | WA | NPI MICHAEL J CLARK PT |
| 650011919 | Other | WA | RAILROAD MEDICARE MIKE |
| 8861197 | Other | WA | MEDICARE |
| 8348476 | Medicaid | WA | |
| CD4682 | Other | WA | RAILROAD MED GROUP # |
| 7082266 | Medicaid | WA | |
| 8462996 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 601 755 670 (Washington) | Primary |
| Provider Name | Andrea Nmi Giedeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326345208 PECOS PAC ID: 8224202627 Enrollment ID: I20111121000909 |
| Provider Name | Michael James Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306849955 PECOS PAC ID: 7810982907 Enrollment ID: I20170413002098 |
| Provider Name | Mitchell James Lesmeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154162345 PECOS PAC ID: 1951849140 Enrollment ID: I20240819004364 |
| Mailing Address | Practice Location Address |
|---|---|
| Walla Walla Physical Therapy Center Aps 275 W Tietan St, Walla Walla, WA 99362-4363 Ph: (509) 522-0114 | Walla Walla Physical Therapy Center Aps 275 W Tietan St, Walla Walla, WA 99362-4363 Ph: (509) 522-0114 |
Holly Ross Farnam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 W Poplar St, Walla Walla, WA 99362 Phone: 509-897-2100 Fax: 509-897-5752 | |
Sharon Ham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Bella Buzz Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 W Poplar St Ste A, Walla Walla, WA 99362 Phone: 509-540-4889 | |
Dave Paul Barcenas, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 E Birch St, Suite 4, Walla Walla, WA 99362 Phone: 509-522-0114 | |
Christen L Davidson-juhnke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1384 Havstad Dr, Walla Walla, WA 99362 Phone: 509-876-2203 | |
Emily Stein, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 W Chestnut St, Walla Walla, WA 99362 Phone: 509-527-3066 | |
Gunnar Leighton James Sjoren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |