| Full Range Mobile Pt, Llc | |
|
608 N Winnebago Dr, Lake Winnebago, MO 64034-9419 | |
| (913) 526-4434 | |
| Not Available |
| Full Name | Full Range Mobile Pt, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 608 N Winnebago Dr, Lake Winnebago, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275274896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Megan M Bechtold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962718304 PECOS PAC ID: 3274725049 Enrollment ID: I20101012000645 |
| Provider Name | Meredith Turner Cabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083016851 PECOS PAC ID: 4688894124 Enrollment ID: I20141106001876 |
| Provider Name | Traci A Smiley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164870093 PECOS PAC ID: 8224320742 Enrollment ID: I20160701000972 |
| Provider Name | Mckayla Knudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013533702 PECOS PAC ID: 8022493915 Enrollment ID: I20220913002252 |
| Mailing Address | Practice Location Address |
|---|---|
| Full Range Mobile Pt, Llc 608 N Winnebago Dr, Lake Winnebago, MO 64034-9419 Ph: () - | Full Range Mobile Pt, Llc 608 N Winnebago Dr, Lake Winnebago, MO 64034-9419 Ph: (913) 526-4434 |
Casey Patrick Mcnamara, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 529 Southshore Dr, Lake Winnebago, MO 64034 Phone: 816-714-0386 | |
Kc Connect Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 529 Southshore Dr, Lake Winnebago, MO 64034 Phone: 816-714-0386 | |
Megan Bechtold, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 608 N Winnebago Dr, Lake Winnebago, MO 64034 Phone: 913-526-4434 Fax: 816-600-0349 |