Kevin J Davis, DPT | |
124 Edwina St, Evergreen, AL 36401-3319 | |
(251) 216-5118 | |
Not Available |
Full Name | Kevin J Davis |
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Gender | Male |
Speciality | Physical Therapist |
Location | 124 Edwina St, Evergreen, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881475259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH10458 (Alabama) | Primary |
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
Mailing Address | Practice Location Address |
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Kevin J Davis, DPT 251 Johnston St Se Ste 300, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Kevin J Davis, DPT 124 Edwina St, Evergreen, AL 36401-3319 Ph: (251) 216-5118 |
Ausha Weathers-yates, Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 | |
Michael L Pitts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 Fax: 251-216-5120 | |
Joshua C. Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 |