Amanda Jean Wakeman, PT, DPT | |
540 E Young Ave, Ste E, Warrensburg, MO 64093-1231 | |
(660) 262-4795 | |
(660) 747-0347 |
Full Name | Amanda Jean Wakeman |
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Gender | Female |
Speciality | Physical Therapist |
Location | 540 E Young Ave, Warrensburg, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205381241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2016027664 (Missouri) | Primary |
Provider Name | Encore Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295 |
Mailing Address | Practice Location Address |
---|---|
Amanda Jean Wakeman, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Amanda Jean Wakeman, PT, DPT 540 E Young Ave, Ste E, Warrensburg, MO 64093-1231 Ph: (660) 262-4795 |
Christopher Scott Lichte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Russell Ave, Building A Suite 6, Warrensburg, MO 64093 Phone: 660-429-4700 Fax: 660-429-0500 | |
Brandon Timothy Alumbaugh, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-747-0247 Fax: 660-747-0347 | |
Jennifer L Dirnberger, PT, CSCI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Kennedi Mcvicker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 609 E Young Ave Unit B1-2, Warrensburg, MO 64093 Phone: 660-747-2370 | |
Robert James Massman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Logan Marie Kroenke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 |