John Paul Miclat, PT | |
1369 Montgomery St, Custer, SD 57730-8246 | |
(605) 787-2719 | |
Not Available |
Full Name | John Paul Miclat |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1369 Montgomery St, Custer, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952087488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2651 (South Dakota) | Primary |
Provider Name | Sundog Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285925453 PECOS PAC ID: 2668650524 Enrollment ID: O20110623000152 |
Mailing Address | Practice Location Address |
---|---|
John Paul Miclat, PT 245 Montgomery St, Custer, SD 57730-1019 Ph: (347) 952-3307 | John Paul Miclat, PT 1369 Montgomery St, Custer, SD 57730-8246 Ph: (605) 787-2719 |
Dr. Danielle Wheeler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1039 Montgomery St, Custer, SD 57730 Phone: 605-673-9476 Fax: 605-673-4954 | |
Margaret Gukeisen, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1039 Montgomery St, Custer, SD 57730 Phone: 605-673-2229 | |
James Simons, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1039 Montgomery St, Custer, SD 57730 Phone: 605-673-2229 | |
Haley Layne Jorgensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 886 Montgomery St Apt 8, Custer, SD 57730 Phone: 775-217-3740 | |
Natalie Cutler, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1039 Montgomery St, Custer, SD 57730 Phone: 605-673-9469 | |
Lynne Loverich, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1039 Montgomery St, Custer, SD 57730 Phone: 605-673-2229 | |
Dr. Alissa Joneson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Montgomery St, Custer, SD 57730 Phone: 605-673-9470 |