| Willmore Wellness Center Llc | |
|
3782 Highway 95, Suite 2, Bullhead City, AZ 86442-8124 | |
| (928) 763-0807 | |
| (928) 763-0827 |
| Full Name | Willmore Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3782 Highway 95, Bullhead City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689861064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kevin K Willmore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649222084 PECOS PAC ID: 5496744138 Enrollment ID: I20040511000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Willmore Wellness Center Llc 3782 Highway 95, Suite 2, Bullhead City, AZ 86442-8124 Ph: (928) 763-0807 | Willmore Wellness Center Llc 3782 Highway 95, Suite 2, Bullhead City, AZ 86442-8124 Ph: (928) 763-0807 |
Nicholas Scott Dolezal, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3003 Hway 95 Ste 61, Bullhead City, AZ 86442 Phone: 928-440-6880 | |
Mr. Max Cornia, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700 Fax: 928-763-9795 | |
Mr. James K Pope, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Highway 95 Ste 3, Bullhead City, AZ 86442 Phone: 928-758-1007 Fax: 928-758-2544 | |
Maren Dela Cruz Simpson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700 | |
Physical Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1788 Highway 95, #14, Bullhead City, AZ 86442 Phone: 928-758-1007 Fax: 928-758-2544 | |
Mfr Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2585 Miracle Mile Ste 104a, Bullhead City, AZ 86442 Phone: 928-296-6021 | |
Carol Ann Diehl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3003 Highway 95, Suite 61, Bullhead City, AZ 86442 Phone: 928-758-0029 Fax: 928-758-0055 |