| Brenton Latta, | |
|
31 Avalon Dr, Palm Coast, FL 32137-2520 | |
| (386) 793-1957 | |
| Not Available |
| Full Name | Brenton Latta |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 31 Avalon Dr, Palm Coast, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083081731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 30630 (Florida) | Secondary |
| 225100000X | Physical Therapist | 070022132 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenton Latta, 31 Avalon Dr, Palm Coast, FL 32137-2520 Ph: () - | Brenton Latta, 31 Avalon Dr, Palm Coast, FL 32137-2520 Ph: (386) 793-1957 |
Lauren Marker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Palm Coast Pkwy Ne Unit 209, Palm Coast, FL 32137 Phone: 386-597-1927 | |
Dr. Desiree Montanari Challice I, P.T., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Old Kings Rd N Ste C107, Palm Coast, FL 32137 Phone: 386-445-2348 Fax: 386-269-4907 | |
Maureen A Mcclernon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Old Kings Rd N, Palm Coast, FL 32137 Phone: 389-445-5555 Fax: 386-445-9800 | |
Christi Lynn Schmitt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4875 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137 Phone: 386-446-9935 | |
Rachel Chesar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Palm Coast Pkwy Ne Unit 209, Palm Coast, FL 32137 Phone: 386-597-1927 | |
Nathan T Burks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Town Ct, Palm Coast, FL 32164 Phone: 386-597-7962 Fax: 866-929-6036 |