Brian Keenoy, DPT | |
945 E Sherman Blvd, Norton Shores, MI 49444-1805 | |
(231) 737-4374 | |
(231) 830-9196 |
Full Name | Brian Keenoy |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 945 E Sherman Blvd, Norton Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225465776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501016431 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Brian Keenoy, DPT 945 E Sherman Blvd, Norton Shores, MI 49444-1805 Ph: (231) 737-4374 | Brian Keenoy, DPT 945 E Sherman Blvd, Norton Shores, MI 49444-1805 Ph: (231) 737-4374 |
Anna Delamielleure, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 | |
Patrick T Jewett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1635 W Sherman Blvd, Norton Shores, MI 49441 Phone: 231-755-4404 Fax: 231-755-7704 | |
Megan Kathleen Huettner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Laura Kordick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Alec Walstra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 | |
Ashley Kooistra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Melissa Prus, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 317-984-8662 Fax: 231-798-6391 |