Kelsey Brooke Travis, PT | |
2301 Bell Ave, Elk City, OK 73644-2254 | |
(580) 225-3335 | |
Not Available |
Full Name | Kelsey Brooke Travis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2301 Bell Ave, Elk City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407492200 | NPI | - | NPPES |
201302130A | Medicaid | OK | |
4526 | Other | OK | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4526 (Oklahoma) | Primary |
Provider Name | Mangum City Hospital Authority |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033635263 PECOS PAC ID: 6305119942 Enrollment ID: O20181020000126 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Brooke Travis, PT 2301 Bell Ave, Elk City, OK 73644-2254 Ph: (580) 225-3335 | Kelsey Brooke Travis, PT 2301 Bell Ave, Elk City, OK 73644-2254 Ph: (580) 225-3335 |
Colby Helffrich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2103 S Main St, Elk City, OK 73644 Phone: 580-225-0075 Fax: 580-225-0095 | |
Gilbert Soriano Rosario, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 W 3rd St, Elk City, OK 73644 Phone: 580-821-5351 Fax: 580-821-5525 | |
Melissa Williams, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 W 3rd St, Elk City, OK 73644 Phone: 580-225-8778 Fax: 580-225-8780 | |
Sarah Dengler, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1007 N Main St Ste 102, Elk City, OK 73644 Phone: 580-225-0075 Fax: 580-225-0095 | |
Bennett Michael Rader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Hubert Dr, Elk City, OK 73644 Phone: 580-799-0706 |