Keesha Shankle, | |
1423 W Centre Ave, Portage, MI 49024-5323 | |
(269) 323-4449 | |
Not Available |
Full Name | Keesha Shankle |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 1423 W Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891163036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 5501017373 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Seasons Physical Therapy And Wellness Plc | 2668743329 | 2 |
Provider Name | New Seasons Physical Therapy And Wellness Plc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740714310 PECOS PAC ID: 2668743329 Enrollment ID: O20170731002613 |
Mailing Address | Practice Location Address |
---|---|
Keesha Shankle, 520 S Platt St, Otsego, MI 49078-1440 Ph: (262) 914-4098 | Keesha Shankle, 1423 W Centre Ave, Portage, MI 49024-5323 Ph: (269) 323-4449 |
Will Knoll, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6016 Lovers Ln Ste 3, Portage, MI 49002 Phone: 269-329-0934 | |
Mr. Subhransu Mohan Samanta, BPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5066 Trumpeter Dr, Portage, MI 49024 Phone: 269-353-9075 | |
Focus Pt Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9245 Austin Dr, Portage, MI 49002 Phone: 574-361-9396 Fax: 269-321-0156 | |
Megan Laura Cooper, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 W Centre Ave, Portage, MI 49024 Phone: 269-323-4300 | |
Patricia V Krautmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Ln Ste 130, Portage, MI 49002 Phone: 269-459-3693 | |
Mr. Rajendra C Sharma, PHYSICALTHERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670 | |
Actionphysicaltherapyyoga&wellnesscenterinc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670 Fax: 000-000-0000 |