Jake Aikman Mccain, | |
3275 Lusk Dr, Suite C, Neosho, MO 64850 | |
(417) 312-8312 | |
Not Available |
Full Name | Jake Aikman Mccain |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3275 Lusk Dr, Neosho, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689316333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2021033653 (Missouri) | Primary |
Provider Name | Advanced Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427401702 PECOS PAC ID: 5395032882 Enrollment ID: O20200430002118 |
Mailing Address | Practice Location Address |
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Jake Aikman Mccain, 844 E Country Ridge St, Nixa, MO 65714-7668 Ph: () - | Jake Aikman Mccain, 3275 Lusk Dr, Suite C, Neosho, MO 64850 Ph: (417) 312-8312 |
Kimberly Michele Maroney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Oak Ridge Dr, Neosho, MO 64850 Phone: 208-859-7464 | |
Peggy R Maher, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 W Lyon Dr, Neosho, MO 64850 Phone: 615-896-6400 | |
Sarah Davis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 S Neosho Blvd, Neosho, MO 64850 Phone: 417-451-8682 Fax: 417-451-8684 |