Kaeli A Mace, PT | |
289 Hurricane Ln Ste 102, Williston, VT 05495-2092 | |
(802) 655-7575 | |
Not Available |
Full Name | Kaeli A Mace |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 289 Hurricane Ln Ste 102, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669140315 | NPI | - | NPPES |
040.0134316 | Other | VT | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040.0134316 (Vermont) | Primary |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705 |
Mailing Address | Practice Location Address |
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Kaeli A Mace, PT 289 Hurricane Ln Ste 102, Williston, VT 05495-2092 Ph: (802) 655-7575 | Kaeli A Mace, PT 289 Hurricane Ln Ste 102, Williston, VT 05495-2092 Ph: (802) 655-7575 |
Wellfound Physical Therapy And Fitness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1193 S Brownell Rd Ste 20, Williston, VT 05495 Phone: 802-343-6279 | |
Maria C Nolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Cornerstone Dr, Williston, VT 05495 Phone: 802-878-8330 Fax: 802-878-8344 | |
Paula Larose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hawthorne St, Williston, VT 05495 Phone: 802-876-6000 | |
Zafir George Bludevich, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 | |
Benjamin M Corcoran, M.S.,P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 Fax: 802-860-1093 | |
Lillian Devereux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Hurricane Ln Ste 102, Williston, VT 05495 Phone: 802-655-7575 | |
Maryclaire Mcgovern, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 62 Merchants Row Ste 202, Williston, VT 05495 Phone: 802-857-5407 |