Drake Parker, | |
470 Mall Blvd, Dyersburg, TN 38024-1648 | |
(731) 259-9995 | |
Not Available |
Full Name | Drake Parker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 470 Mall Blvd, Dyersburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053002444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14454 (Tennessee) | Primary |
Provider Name | Dynamix Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
---|---|
Drake Parker, 195 Baker Rd, Newbern, TN 38059-5403 Ph: (731) 676-3969 | Drake Parker, 470 Mall Blvd, Dyersburg, TN 38024-1648 Ph: (731) 259-9995 |
Andrea Castellaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Saint John Ave Ste 2, Dyersburg, TN 38024 Phone: 731-325-5515 Fax: 731-325-5517 | |
Laura N Boals, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2265 Parr Ave, Dyersburg, TN 38024 Phone: 731-285-6600 Fax: 731-285-8005 | |
Whitney Greene, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Us Highway 51 Byp W, Dyersburg, TN 38024 Phone: 731-285-5552 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Lake Rd, Dyersburg, TN 38024 Phone: 479-201-6091 | |
Amy W Staggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Denise Doughty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Mall Blvd Ste D, Dyersburg, TN 38024 Phone: 901-287-9710 |