Katherine Smith, DPT | |
1100 E Michigan Ave, Grayling, MI 49738-1312 | |
(989) 348-5461 | |
Not Available |
Full Name | Katherine Smith |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1100 E Michigan Ave, Grayling, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912302019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013822 (Ohio) | Secondary |
225100000X | Physical Therapist | 5501302549 (Michigan) | Primary |
Provider Name | Engage Wellness, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1992472690 PECOS PAC ID: 0840684395 Enrollment ID: O20220225000979 |
Mailing Address | Practice Location Address |
---|---|
Katherine Smith, DPT 1353 Charles Brink Rd, Gaylord, MI 49735-7644 Ph: () - | Katherine Smith, DPT 1100 E Michigan Ave, Grayling, MI 49738-1312 Ph: (989) 348-5461 |
Mr. Romeo Cobcobo Buclay, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Meadows Dr, Grayling, MI 49738 Phone: 989-348-2801 | |
Dylan Honsinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Michelle Zultak, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 Fax: 989-348-0549 | |
Seth David Lashuay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Laura Schweier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Eric Bradley South, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-5461 | |
Mrs. Lynne Moran, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 E Michigan Ave # 1, Grayling, MI 49738 Phone: 989-348-3027 Fax: 989-348-4246 |