Katrina Ann Grevengoed, DPT | |
789 Holton Dr, Le Mars, IA 51031-3757 | |
(712) 546-1718 | |
Not Available |
Full Name | Katrina Ann Grevengoed |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 789 Holton Dr, Le Mars, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457131518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 117763 (Iowa) | Primary |
Provider Name | Le Mars Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1932369352 PECOS PAC ID: 3375617962 Enrollment ID: O20080730000567 |
Mailing Address | Practice Location Address |
---|---|
Katrina Ann Grevengoed, DPT 1802 Calvin Ct Apt 7, Iowa City, IA 52246-3107 Ph: (712) 541-4612 | Katrina Ann Grevengoed, DPT 789 Holton Dr, Le Mars, IA 51031-3757 Ph: (712) 546-1718 |
Benjamin John Nebelsick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 712-546-1770 | |
Jacob Kevin Nessa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 172-546-1770 | |
Abby Jo Stainbrook, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 712-546-1770 | |
Le Mars Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 712-250-2415 |