| Jennifer Lynn Hardesty, PT | |
|
1268 Perry Ave, Big Rapids, MI 49307-2115 | |
| (231) 796-4419 | |
| (231) 592-5139 |
| Full Name | Jennifer Lynn Hardesty |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1268 Perry Ave, Big Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417113564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501009794 (Michigan) | Primary |
| Provider Name | Evergreen Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295740637 PECOS PAC ID: 7618074220 Enrollment ID: O20070516000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Hardesty, PT 1268 Perry Ave, Big Rapids, MI 49307-2115 Ph: (231) 796-4419 | Jennifer Lynn Hardesty, PT 1268 Perry Ave, Big Rapids, MI 49307-2115 Ph: (231) 796-4419 |
Kathryn Elizabeth Blank, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Perry Ave Ste B, Big Rapids, MI 49307 Phone: 231-753-1236 Fax: 231-867-9006 | |
Mr. Willem Bartholomeus Snyman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20095 Gilbert Rd, Big Rapids, MI 49307 Phone: 231-592-1360 Fax: 231-592-1361 | |
Matthew Lautner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Perry Ave Ste B, Big Rapids, MI 49307 Phone: 231-753-1236 Fax: 231-867-9006 | |
Mrs. Geraldine Elizabeth Shenton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14257 Northland Dr, Big Rapids, MI 49307 Phone: 231-796-4419 Fax: 231-796-4980 | |
Kate Ann Hewitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1268 Perry Ave, Big Rapids, MI 49307 Phone: 231-796-4419 Fax: 231-796-4980 | |
Jill R Crosby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1268 Perry Ave, Big Rapids, MI 49307 Phone: 231-796-4419 Fax: 231-796-4980 | |
Ann R Yokiel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20095 Gilbert Rd, Suite B, Big Rapids, MI 49307 Phone: 231-592-1360 Fax: 231-592-1361 |