Kassidy Heeringa, DPT | |
1910 E Apple Ave Ste G&h, Muskegon, MI 49442-4281 | |
(231) 333-9148 | |
Not Available |
Full Name | Kassidy Heeringa |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1910 E Apple Ave Ste G&h, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619751872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302882 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Kassidy Heeringa, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 295-4050 | Kassidy Heeringa, DPT 1910 E Apple Ave Ste G&h, Muskegon, MI 49442-4281 Ph: (231) 333-9148 |
Mr. Jeffrey Allen Eaton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2045 Holton Rd, Muskegon, MI 49445 Phone: 231-744-0077 Fax: 231-744-0030 | |
Dr. Houston Bedford, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Mercy Dr Ste 100, Muskegon, MI 49444 Phone: 231-733-1326 | |
Miss Cibele Maziliauskas Granito, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1080 E Sternberg Rd, Muskegon, MI 49444 Phone: 231-799-2200 Fax: 231-799-2201 | |
Rachel Silver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 Mercy Dr Ste 100, Muskegon, MI 49444 Phone: 231-733-1326 Fax: 231-733-5212 | |
Ms. Tracy Lee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Muskegon, MI 49444 Phone: 616-935-3300 Fax: 616-935-3323 | |
Sarah Ann Janish, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 695 Mitzi St, Muskegon, MI 49445 Phone: 231-744-1641 | |
Britta Poort, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 |