| Amethyst Deneal, PT, DPT | |
|
1201 Ricker Rd, Salem, IL 62881-4263 | |
| (618) 548-3194 | |
| Not Available |
| Full Name | Amethyst Deneal |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1201 Ricker Rd, Salem, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295512614 | NPI | - | NPPES |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Deneal, PT, DPT 545 Womble Rd, Harrisburg, IL 62946-5457 Ph: () - | Amethyst Deneal, PT, DPT 1201 Ricker Rd, Salem, IL 62881-4263 Ph: (618) 548-3194 |
Samuel Dalagan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Dogwood Ln, Salem, IL 62881 Phone: 618-548-8695 | |
Christopher Evan Meier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Mrs. Emily Headley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 Fax: 618-548-4902 | |
Dr. Michael Beavin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Hawthorn Rd, Salem, IL 62881 Phone: 618-322-9896 | |
Jan Michael Pastrana Aguiling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Mr. Piodel Balgos Susmena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Briarwood Dr, Salem, IL 62881 Phone: 618-548-8633 Fax: 618-548-8633 |