| Kathalynas Spine, Sport & Rehabilitation Llc | |
|
206 E Church St Ste A, Benton, IL 62812-2239 | |
| (618) 435-9393 | |
| (618) 937-3500 |
| Full Name | Kathalynas Spine, Sport & Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 206 E Church St Ste A, Benton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336468966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ryan J Kathalynas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013235092 PECOS PAC ID: 9537354261 Enrollment ID: I20101108001312 |
| Provider Name | Allyson L Kathalynas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336467315 PECOS PAC ID: 5991990624 Enrollment ID: I20101108001376 |
| Provider Name | Gunnar M Galloway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447918123 PECOS PAC ID: 4587056957 Enrollment ID: I20220114000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathalynas Spine, Sport & Rehabilitation Llc 206 E Church St Ste A, Benton, IL 62812-2239 Ph: (618) 435-9393 | Kathalynas Spine, Sport & Rehabilitation Llc 206 E Church St Ste A, Benton, IL 62812-2239 Ph: (618) 435-9393 |
Novacare Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 | |
Patcholo Yap Paglinawan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1310 Mark Franklin Dr, Benton, IL 62812 Phone: 618-439-3500 | |
Mrs. Lovelia Cabrera Horn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 | |
Mr. Randall Wayne Lawrence, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 | |
Colin Jacob Overstreet, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 |