Dustin Kent Mitchell, | |
216 N 2nd St, Amite, LA 70422-2408 | |
(985) 748-7878 | |
(985) 748-2837 |
Full Name | Dustin Kent Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 216 N 2nd St, Amite, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144404914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 07338 (Louisiana) | Primary |
Provider Name | Amite Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265589451 PECOS PAC ID: 5092753327 Enrollment ID: O20050419000004 |
Mailing Address | Practice Location Address |
---|---|
Dustin Kent Mitchell, Po Box 398, Amite, LA 70422-0398 Ph: (985) 748-7878 | Dustin Kent Mitchell, 216 N 2nd St, Amite, LA 70422-2408 Ph: (985) 748-7878 |
Brennan C Kelsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 Nw Central Ave, Amite, LA 70422 Phone: 985-747-3422 Fax: 985-747-3424 | |
Marvin Bruce Neal Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 216 North Second St, Amite, LA 70422 Phone: 985-748-7878 Fax: 985-748-2837 | |
Mrs. Katherine Hickman Hayden, PT, MHA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17333 E Bell Rd, Amite, LA 70422 Phone: 985-747-9193 | |
Charles Frederick Payne, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 216 North Second St, Amite, LA 70422 Phone: 985-748-7878 Fax: 985-748-2837 | |
Alice Carballo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 E North Pl, Amite, LA 70422 Phone: 985-748-9464 | |
Banyon L Tuminello, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14159 Highway 16, Amite, LA 70422 Phone: 985-747-3422 Fax: 985-747-3424 |