Caleb Smith, | |
180 Mall Rd Ste K, Hollister, MO 65672-9603 | |
(417) 263-3045 | |
Not Available |
Full Name | Caleb Smith |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 180 Mall Rd Ste K, Hollister, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881347383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2020027253 (Missouri) | Primary |
Provider Name | Serc Rehabilitation Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
Mailing Address | Practice Location Address |
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Caleb Smith, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Caleb Smith, 180 Mall Rd Ste K, Hollister, MO 65672-9603 Ph: (417) 263-3045 |
Kerrie Nell Patton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Wilshire Dr, Hollister, MO 65672 Phone: 417-699-3482 | |
Serc Rehabilitation Partners Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Mall Rd Ste K, Hollister, MO 65672 Phone: 417-263-3045 Fax: 417-730-1430 | |
Kila Marie Butts, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Mall Rd Ste K, Hollister, MO 65672 Phone: 417-263-3045 Fax: 417-730-1430 | |
School Dist R5 Hollister Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1798 State Highway Bb, Hollister, MO 65672 Phone: 417-332-0130 Fax: 417-334-2663 |