Kelsey B Wallin, | |
8715 Village Dr Ste 120, San Antonio, TX 78217-5425 | |
(210) 477-5151 | |
(210) 477-5152 |
Full Name | Kelsey B Wallin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8715 Village Dr Ste 120, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083965610 | NPI | - | NPPES |
1209640 | Other | TX | PHYSICAL THERAPIST LISCENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225100000X | Physical Therapist | PT 60216897 (Washington) | Secondary |
Provider Name | Halcyon Home Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962825547 PECOS PAC ID: 4688806433 Enrollment ID: O20210524002828 |
Mailing Address | Practice Location Address |
---|---|
Kelsey B Wallin, 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233-3259 Ph: (210) 477-5151 | Kelsey B Wallin, 8715 Village Dr Ste 120, San Antonio, TX 78217-5425 Ph: (210) 477-5151 |
Sarah F Simpson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27880 Riata Ranch Dr, San Antonio, TX 78261 Phone: 210-870-9430 | |
Elizabeth Brotherton, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Ne Loop 410 Ste 612, San Antonio, TX 78216 Phone: 210-308-2900 | |
Jennifer Duggins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20330 Huebner Rd, Ste 102, San Antonio, TX 78258 Phone: 210-725-3700 | |
Neha Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Huebner Rd Ste 275, San Antonio, TX 78240 Phone: 210-561-7000 | |
Jennifer G Classy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18323 Sonterra Pl, San Antonio, TX 78258 Phone: 210-495-4606 Fax: 210-495-4606 | |
Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Fredericksburg Rd Apt 1319, San Antonio, TX 78229 Phone: 708-571-9504 | |
Jesus Alcala, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 Phone: 210-610-4480 |