Brandon J Cridlebaugh (NPI# 1346431863, PAC ID# 7113011784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1346431863 |
| PAC ID by PECOS | 7113011784 |
| Professional Enrollment ID | I20070913000695 |
| Full Name | Brandon J Cridlebaugh |
| Organization Legal Name | PROFORMANCE PHYSICAL THERAPY, LLC |
| Address |
1225 S Grand Ave B Pullman WA 99163-3426 |
| Phone Number | 5093389204 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0840229480 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1225 S Grand Ave B, Pullman, WA 99163-3426 | 5093389204 | PROFORMANCE PHYSICAL THERAPY, LLC |
| 815 Se Klemgard St, Pullman, WA 99163-5430 | 5093389204 | PROFORMANCE PHYSICAL THERAPY, LLC |
| Organization Legal Name | PROFORMANCE PHYSICAL THERAPY, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura N Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Brandon K Richards | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Troy T Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Sean M Knight | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Street Address |
1225 S GRAND AVE B |
| City | PULLMAN |
| State | WA |
| Zip | 99163-3426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura N Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Brandon K Richards | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Troy T Vannucci | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Sean M Knight | Physical Therapy | Proformance Physical Therapy, LLC | 1225 S Grand Ave B, Pullman, WA 99163-3426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathon C Via | Chiropractic | 755 S Grand Ave, Apt 3, Pullman, WA 99163-2161 | |
| James Devleming | Optometry | 238 E Main St, Pullman, WA 99163-2619 | |
| Melanie Lynn Whetstine-richel | Psychologist, Clinical | 254 E Main St, Suite 226, Pullman, WA 99163-2683 | |
| Mark Summerson | Psychologist, Clinical | 254 E Main St, Suite 226, Pullman, WA 99163-2683 | |
| Melody A Volk | Chiropractic | 1125 Nw Nye St, Suite C, Pullman, WA 99163-3404 | |
| Shane P Carnahan | Chiropractic | Carnahan Alternative Healthcare | 50 Nw Terre View Dr, Pullman, WA 99163-3643 |
| Michael D Stallcop | Chiropractic | Carnahan Alternative Healthcare | 50 Nw Terre View Dr, Pullman, WA 99163-3643 |
| Benjamin J Adkins | Family Medicine | Pullman Regional Hospital Clinic Network LLC | 915 Ne Valley Rd, Pullman, WA 99163-3845 |
| Shaleah D Jones | Family Medicine | Pullman Regional Hospital Clinic Network LLC | 915 Ne Valley Rd, Pullman, WA 99163-3845 |
| Kimberley F Guida | Family Medicine | Pullman Regional Hospital Clinic Network LLC | 915 Ne Valley Rd, Pullman, WA 99163-3845 |
| Find all physicians in zip 99163 | |||
| City | PULLMAN |
| Zip Code | 99163 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PULLMAN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brandon J Cridlebaugh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.