Jessica Ann Pauly, PT, DPT | |
19931 W Kellogg Dr Unit A, Goddard, KS 67052-8864 | |
(316) 550-6132 | |
(316) 550-6215 |
Full Name | Jessica Ann Pauly |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 19931 W Kellogg Dr Unit A, Goddard, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306338629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-05885 (Kansas) | Primary |
Provider Name | Harter Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699195446 PECOS PAC ID: 1456578426 Enrollment ID: O20140814002240 |
Mailing Address | Practice Location Address |
---|---|
Jessica Ann Pauly, PT, DPT 3400 Meadowlark Ln, Great Bend, KS 67530-7541 Ph: (620) 545-5248 | Jessica Ann Pauly, PT, DPT 19931 W Kellogg Dr Unit A, Goddard, KS 67052-8864 Ph: (316) 550-6132 |
Stacy Bennett, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 S Lakeview Ct, Goddard, KS 67052 Phone: 316-252-0445 | |
Christopher Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 | |
Janet Blasi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 | |
Amanda Harter, PT, DPT, OCS, COMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-640-6215 | |
Mr. Micah Kenneth Harder, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 | |
Dr. Gabe Harter, PT, DPT, OCS, COMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 |