| Avery Rehabilitation | |
|
100 Highway 15 S Ste 136, Jackson, KY 41339-8636 | |
| (606) 693-9644 | |
| (606) 693-9643 |
| Full Name | Avery Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 100 Highway 15 S Ste 136, Jackson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386085561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 101062 (Kentucky) | Primary |
| Provider Name | Ahmed S Yousef |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336185214 PECOS PAC ID: 8527229475 Enrollment ID: I20120419000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Rehabilitation 100 Highway 15 S Ste 136, Jackson, KY 41339-8636 Ph: (606) 693-9644 | Avery Rehabilitation 100 Highway 15 S Ste 136, Jackson, KY 41339-8636 Ph: (606) 693-9644 |
Mr. James Brian Morris, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Kentucky Highway 15 North, Suite 3, Jackson, KY 41339 Phone: 606-666-9293 Fax: 606-666-9220 | |
Jackson Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Ky. Hwy. 15 North, Suite 3, Jackson, KY 41339 Phone: 606-666-9293 Fax: 606-666-9220 | |
Jonathan Charles Morris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Ky Hwy 15 N,, Ste 3, Jackson, KY 41339 Phone: 606-666-9243 Fax: 606-666-9220 | |
Charles Derrick Whitaker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Highway 15 N Ste 3, Jackson, KY 41339 Phone: 606-666-9293 | |
Katrina Anderson Bostron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Ky Hwy 15n, Suite 3, Jackson, KY 41339 Phone: 606-666-9293 Fax: 606-666-9220 | |
Mr. Kolby Allen Watts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Highway 15 S Ste 136, Jackson, KY 41339 Phone: 606-693-9644 Fax: 606-693-9643 |