| Kelli Block, | |
|
2300 Liam Ave Ste 104, Dacula, GA 30019-2265 | |
| (470) 294-0052 | |
| Not Available |
| Full Name | Kelli Block |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2300 Liam Ave Ste 104, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841918372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT016161 (Georgia) | Primary |
| Provider Name | Soar Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083861785 PECOS PAC ID: 0941365100 Enrollment ID: O20090223000316 |
| Provider Name | Back In The Game Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962669275 PECOS PAC ID: 9133380082 Enrollment ID: O20120419000722 |
| Provider Name | Fyz 400 Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912622960 PECOS PAC ID: 0547638736 Enrollment ID: O20221118001663 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Block, 236 Candler Way, Williamson, GA 30292-3284 Ph: (678) 577-3020 | Kelli Block, 2300 Liam Ave Ste 104, Dacula, GA 30019-2265 Ph: (470) 294-0052 |
Laurice Aarons, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Teron Trce Ste 120, Dacula, GA 30019 Phone: 770-904-2357 | |
Dr. Jasmine C Williams, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Liam Ave Ste 103, Dacula, GA 30019 Phone: 470-294-0052 Fax: 470-294-0053 | |
Dr. Katie Bannister, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357 | |
Amy Atkinson Bernal, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 976 Redstone Rd, Dacula, GA 30019 Phone: 770-977-2345 Fax: 678-392-4401 | |
Cristen Sisson, BS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3581 Braselton Hwy, Dacula, GA 30019 Phone: 770-800-7827 | |
Tender Ones Therapy Services, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2089 Teron Trce, Suite 120, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357 | |
Yumi Ueda Hutchins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2515 Fence Rd Ste 160, Dacula, GA 30019 Phone: 770-237-2852 Fax: 770-237-2854 |