Kerry Shults, | |
330 E 5th North St Ste D&e, Summerville, SC 29483-0702 | |
(843) 695-0326 | |
(843) 695-0328 |
Full Name | Kerry Shults |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 330 E 5th North St Ste D&e, Summerville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154029163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (South Carolina) | Primary |
Provider Name | Ati Holdings Of Arizona Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
Mailing Address | Practice Location Address |
---|---|
Kerry Shults, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Kerry Shults, 330 E 5th North St Ste D&e, Summerville, SC 29483-0702 Ph: (843) 695-0326 |
Haleigh Vaughan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 370 E 5th North St, Summerville, SC 29483 Phone: 843-737-6913 | |
Mrs. Jessica Lee Wooten, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 93b Springview Ln, Summerville, SC 29485 Phone: 843-875-4770 | |
Taylor Asher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1718 State Rd Ste 7, Summerville, SC 29486 Phone: 843-303-9418 | |
Donnie Arastus Gay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9512 Dorchester Rd Ste 140, Summerville, SC 29485 Phone: 843-695-7970 Fax: 843-695-7971 | |
Lorenzo Philip Bianco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10160 Dorchester Rd, Summerville, SC 29485 Phone: 843-851-5820 | |
Nancy Pritchard Jackson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Travelers Blvd, Summerville, SC 29485 Phone: 843-832-8481 Fax: 843-832-8621 | |
Homegrown Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Squire Pope Rd, Summerville, SC 29486 Phone: 208-613-7361 Fax: 843-892-8444 |