Jacob Huitt, | |
789 Tennessee St Ste 101, Bolivar, TN 38008-2441 | |
(731) 658-2206 | |
Not Available |
Full Name | Jacob Huitt |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 789 Tennessee St Ste 101, Bolivar, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487136008 | NPI | - | NPPES |
Q029723 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Star Physical Therapy Lp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396704094 PECOS PAC ID: 5496662421 Enrollment ID: O20131001000367 |
Mailing Address | Practice Location Address |
---|---|
Jacob Huitt, Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Jacob Huitt, 789 Tennessee St Ste 101, Bolivar, TN 38008-2441 Ph: (731) 658-2206 |
Misty M Kirk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Tennessee St, 101, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
Drew Crews, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 W Market St Ste Fandg, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
Betty Ragon Lenoir, BSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 789 Tennessee St, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
All Ways Therapies Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 Tennessee St Ste C, Bolivar, TN 38008 Phone: 888-507-1113 Fax: 901-759-1531 | |
Brittany Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Market St Ste E&f, Bolivar, TN 38008 Phone: 731-658-2206 | |
Keaton Overton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Market St Ste Fandg, Bolivar, TN 38008 Phone: 731-658-2206 |