Deborah Deshazo
Physical Therapist in Leavenworth, WA. Individual provider (NPI-1).
NPI number1902582091
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1902582091
- Entity type
- Individual (NPI-1)
- Name
- Deborah Deshazo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2023
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00002858 | WA | Yes |
Practice location
10171 Chumstick Hwy Ste 1Leavenworth, WA 98826-8762
Phone 509-548-3133
Mailing address
10171 Chumstick Hwy Ste 1Leavenworth, WA 98826-8762
Phone 509-548-3133
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Physical Therapist providers in Leavenworth · All 130 providers in Leavenworth
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