Elite Rehab Holtville Llc | |
213 Lightwood Rd Ste 2, Deatsville, AL 36022 | |
(334) 543-4269 | |
(334) 543-4272 |
Full Name | Elite Rehab Holtville Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 213 Lightwood Rd Ste 2, Deatsville, Alabama |
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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1649913120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Tyson Crisman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306954276 PECOS PAC ID: 6608907894 Enrollment ID: I20100702000335 |
Provider Name | Clint D Mann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124348875 PECOS PAC ID: 5991829244 Enrollment ID: I20100824000634 |
Provider Name | Jared Blair |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689969701 PECOS PAC ID: 8628256054 Enrollment ID: I20110706000487 |
Provider Name | Albert J Mayhan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619421435 PECOS PAC ID: 6709166358 Enrollment ID: I20161216002199 |
Mailing Address | Practice Location Address |
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Elite Rehab Holtville Llc 213 Lightwood Rd Ste 2, Deatsville, AL 36022 Ph: (334) 543-4269 | Elite Rehab Holtville Llc 213 Lightwood Rd Ste 2, Deatsville, AL 36022 Ph: (334) 543-4269 |
Mr. William Donald Gill Ii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Lake Haven Dr, Deatsville, AL 36022 Phone: 251-209-2043 | |
Cody Brian Dingman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 213 Lightwood Rd Ste 2, Deatsville, AL 36022 Phone: 334-543-4269 Fax: 334-543-4272 |