| Karissa Peterson, | |
|
4356 Maynardville Hwy Ste 3, Maynardville, TN 37807-3646 | |
| (865) 630-9030 | |
| Not Available |
| Full Name | Karissa Peterson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4356 Maynardville Hwy Ste 3, Maynardville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104696384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 13293 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 15542 (Tennessee) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Karissa Peterson, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 497-0005 | Karissa Peterson, 4356 Maynardville Hwy Ste 3, Maynardville, TN 37807-3646 Ph: (865) 630-9030 |
Katie Robinson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807 Phone: 865-333-4673 | |
Colorado Abella, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2945 Maynardville Hwy, Ste. 9, Maynardville, TN 37807 Phone: 865-992-6933 Fax: 865-992-6870 | |
Agnes R Abella, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Dr Ste B, Maynardville, TN 37807 Phone: 865-992-6933 Fax: 865-992-6870 | |
Dale R Corum Ii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4357 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-745-1799 Fax: 865-745-1806 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 Maynardville Hwy Ste 3, Maynardville, TN 37807 Phone: 865-630-9030 Fax: 865-312-6459 |