Custom Physical Therapy And Fitness | |
102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 | |
(563) 505-4524 | |
Not Available |
Full Name | Custom Physical Therapy And Fitness |
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Type | Facility |
Speciality | Physical Therapist |
Location | 102 Hidden Pastures Dr Ste 106, Cramerton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063083384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kathryn E Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033235825 PECOS PAC ID: 1355448853 Enrollment ID: I20190213001489 |
Provider Name | Nathan Tometich |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144086265 PECOS PAC ID: 0840639969 Enrollment ID: I20240422001843 |
Provider Name | Jonathan Bennett Hixson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740815786 PECOS PAC ID: 2466882626 Enrollment ID: I20240423002213 |
Mailing Address | Practice Location Address |
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Custom Physical Therapy And Fitness 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 Ph: () - | Custom Physical Therapy And Fitness 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 Ph: (563) 505-4524 |
Marcus Alexander Ivey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Cramer Mountain Rd, Cramerton, NC 28032 Phone: 704-389-5120 | |
Caro Lamarque, Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032 Phone: 704-560-6135 |