Kaira Lee Fetla, | |
1001 West St, Carthage, NY 13619-9703 | |
(315) 493-1340 | |
Not Available |
Full Name | Kaira Lee Fetla |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1001 West St, Carthage, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225683691 | NPI | - | NPPES |
046960 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT014186 (Georgia) | Secondary |
225100000X | Physical Therapist | 046960 (New York) | Primary |
Provider Name | Total Therapy Solutions |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215458526 PECOS PAC ID: 0345519773 Enrollment ID: O20200127000960 |
Mailing Address | Practice Location Address |
---|---|
Kaira Lee Fetla, 1001 West St, Carthage, NY 13619-9776 Ph: (315) 493-1340 | Kaira Lee Fetla, 1001 West St, Carthage, NY 13619-9703 Ph: (315) 493-1340 |
Ryann Maier, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1340 Fax: 315-493-1417 | |
Mrs. Katrina Leigh Nortz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1000 Fax: 315-493-1417 | |
Dr. Natasha Willis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-1340 | |
Caden J Durham, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1340 Fax: 315-493-1417 | |
William Blunden, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1340 | |
Mrs. Darcy Zehr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St Ste 5, Carthage, NY 13619 Phone: 315-493-1340 Fax: 315-493-1417 |