Casey Koller, | |
21964 Highway 32, Sainte Genevieve, MO 63670-9190 | |
(573) 883-9366 | |
(573) 883-9377 |
Full Name | Casey Koller |
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Gender | Male |
Speciality | Physical Therapist |
Location | 21964 Highway 32, Sainte Genevieve, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699167692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2015003523 (Missouri) | Primary |
Provider Name | Ste Genevieve County Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
Provider Name | Mid America Rehab, P.c. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639143357 PECOS PAC ID: 9830236769 Enrollment ID: O20091027000269 |
Mailing Address | Practice Location Address |
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Casey Koller, 11394 State Route M, Sainte Genevieve, MO 63670-8604 Ph: (573) 883-9366 | Casey Koller, 21964 Highway 32, Sainte Genevieve, MO 63670-9190 Ph: (573) 883-9366 |
Becky Baumann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21964 Highway 32, Sainte Genevieve, MO 63670 Phone: 573-883-9366 Fax: 573-883-9377 | |
Jordan Noland, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 Merchant St, Sainte Genevieve, MO 63670 Phone: 573-883-8181 | |
Ck Therapies, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11298 Kimmel Lake Rd, Sainte Genevieve, MO 63670 Phone: 573-984-0104 | |
Anthony James Meyer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12565 State Route O, Sainte Genevieve, MO 63670 Phone: 573-535-8470 | |
Mrs. Enriqueta Anne Hill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 21964 Highway 32, Sainte Genevieve, MO 63670 Phone: 573-883-9366 Fax: 573-883-9377 |