| Kellie C Cannon, DPT | |
|
1000 River Rd, Eugene, OR 97404 | |
| (541) 689-0935 | |
| (541) 461-6884 |
| Full Name | Kellie C Cannon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1000 River Rd, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528484870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 60483 (Oregon) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 60483 (Oregon) | Primary |
| Provider Name | Go Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316608193 PECOS PAC ID: 5698160950 Enrollment ID: O20230117001321 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie C Cannon, DPT 1000 River Rd, Eugene, OR 97404 Ph: (541) 689-0935 | Kellie C Cannon, DPT 1000 River Rd, Eugene, OR 97404 Ph: (541) 689-0935 |
Joseph Adam Bekaert, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1835 Pearl St, Eugene, OR 97401 Phone: 541-505-8180 | |
Jeff A Giulietti, MPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 54 Oakway Ctr, Eugene, OR 97401 Phone: 541-687-7005 Fax: 541-687-7006 | |
Mr. Richard C Huffman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Country Club #150, Oregon Spine Physical Therapy, Eugene, OR 97405 Phone: 541-683-5139 Fax: 541-683-5783 | |
Katie L Kowalski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-868-0883 | |
Mrs. Ashlee Marie Shupe, PT, DPT, CLT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 N Monroe St, Eugene, OR 97402 Phone: 541-790-7700 Fax: 541-790-7711 | |
Ms. Jennifer Dunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 488 E 11th Ave Ste 150a, Eugene, OR 97401 Phone: 541-505-8180 Fax: 541-505-7134 | |
Robert Aaron Wayner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Country Club Rd, Suite 210b, Eugene, OR 97401 Phone: 541-242-4172 Fax: 541-242-4171 |