| Innervision Therapy, Llc | |
|
4000 Hempfield Plaza Blvd Suite 926 Greensburg PA 15601-1483 | |
| (724) 834-0432 | |
| (724) 837-7385 |
| Full Name | Innervision Therapy, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4000 Hempfield Plaza Blvd, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Kelley Mcginnis (DIRECTOR) |
| Authorized Official Contact | 7248340432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervision Therapy, Llc 4000 Hempfield Plaza Blvd Suite 926 Greensburg PA 15601-1483 Ph: (724) 834-0432 | Innervision Therapy, Llc 4000 Hempfield Plaza Blvd Suite 926 Greensburg PA 15601-1483 Ph: (724) 834-0432 |
| NPI Number | 1740460260 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 10/22/2008 |
| Medicare PECOS PAC ID | 6507945896 |
|---|---|
| Medicare Enrollment ID | O20080512000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740460260 | NPI | - | NPPES |
| Provider Name | Ada L Castle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346261856 PECOS PAC ID: 2466491402 Enrollment ID: I20050428000628 |
| Provider Name | Kelley Jones Smodic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083895965 PECOS PAC ID: 7618904921 Enrollment ID: I20050719000479 |
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