Kelly Hawthorne, | |
701 10th St Se, Cedar Rapids, IA 52403-1251 | |
(319) 398-6915 | |
Not Available |
Full Name | Kelly Hawthorne |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
Location | 701 10th St Se, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144094269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 03085 (Iowa) | Primary |
Provider Name | Mercy Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145 |
Mailing Address | Practice Location Address |
---|---|
Kelly Hawthorne, 2456 Bluegrass St, Marion, IA 52302-6004 Ph: (773) 531-4547 | Kelly Hawthorne, 701 10th St Se, Cedar Rapids, IA 52403-1251 Ph: (319) 398-6915 |
Sulliman Al-ostaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4325 Williams Blvd Sw, Cedar Rapids, IA 52404 Phone: 319-861-6900 | |
Mr. David Neira, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6020 Fax: 319-398-6543 | |
Jennifer Ann Ring, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jacolyn Dr Sw, Cedar Rapids, IA 52404 Phone: 319-396-0222 Fax: 319-396-1525 | |
Carla Jo Nieman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 10th St Se, Suite 700, Cedar Rapids, IA 52403 Phone: 319-365-9439 Fax: 319-365-9368 | |
Mariah Jimmerson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3998 Westdale Pkwy Sw Ste 300, Cedar Rapids, IA 52404 Phone: 319-396-0222 | |
Brock Yotty, PT, DPT, OCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4325 Williams Blvd Sw, Cedar Rapids, IA 52404 Phone: 319-861-6900 | |
Jodi L Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw Ste 102, Cedar Rapids, IA 52404 Phone: 319-200-6102 |