| Katie Regena Desloover, | |
|
14930 Laplaisance Rd Ste 118, Monroe, MI 48161-3878 | |
| (734) 888-6464 | |
| Not Available |
| Full Name | Katie Regena Desloover |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 14930 Laplaisance Rd Ste 118, Monroe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629561840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501016060 (Michigan) | Primary |
| Provider Name | Mini Mitten Pediatric Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528655826 PECOS PAC ID: 7113334996 Enrollment ID: O20210323000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Regena Desloover, 3393 Kelly Rd, La Salle, MI 48145-9638 Ph: (614) 778-3660 | Katie Regena Desloover, 14930 Laplaisance Rd Ste 118, Monroe, MI 48161-3878 Ph: (734) 888-6464 |
Jana Christine Ruddy, PT - PHYSICAL THERAP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 S. Telegraph Rd., Monroe, MI 48161 Phone: 734-240-1950 Fax: 734-240-1955 | |
Dr. Katelyn E Grau, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Stewart Rd, Monroe, MI 48162 Phone: 734-240-1820 | |
Mrs. Malgorzata Agnieszka Latala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1038 N Monroe St, Monroe, MI 48162 Phone: 734-242-0101 | |
Ronald D Mashni, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1291 N Telegraph Rd, Monroe, MI 48162 Phone: 734-243-0300 Fax: 734-243-3066 | |
Mr. Bradly Todd Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Telegraph Rd, Monroe, MI 48161 Phone: 734-240-1950 | |
Jack Burg, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1048 N Monroe St, Monroe, MI 48162 Phone: 734-241-1400 | |
Barbara Mcneil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Telegraph Rd, Monroe, MI 48161 Phone: 734-240-1950 Fax: 734-240-1955 |