Dr Kyle Mccullouch, DPT | |
1107 Highland Colony Pkwy Ste 109, Ridgeland, MS 39157-6079 | |
(601) 896-6894 | |
(601) 203-3034 |
Full Name | Dr Kyle Mccullouch |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 2 Years |
Location | 1107 Highland Colony Pkwy Ste 109, Ridgeland, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700517935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7352 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mississippi Spine And Pelvic Health Physical Therapy Llc | 8325436884 | 8 |
Provider Name | Mississippi Spine And Pelvic Health Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710654686 PECOS PAC ID: 8325436884 Enrollment ID: O20211102002958 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle Mccullouch, DPT 1107 Highland Colony Pkwy Ste 109, Ridgeland, MS 39157-6079 Ph: (601) 896-6894 | Dr Kyle Mccullouch, DPT 1107 Highland Colony Pkwy Ste 109, Ridgeland, MS 39157-6079 Ph: (601) 896-6894 |
Christine Antonia Shadie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Reneda S Watts-anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Arthur Davis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157 Phone: 601-573-9974 | |
Joe H Smelser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Kathryn Collums, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157 Phone: 601-308-5117 Fax: 601-308-5103 | |
Shelby Adkins Ladner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Justin Nichols, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 |