Kimberly Preston, | |
5622 Deville Ct, East Lansing, MI 48823-2968 | |
(517) 214-6917 | |
Not Available |
Full Name | Kimberly Preston |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5622 Deville Ct, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558736058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501004760 (Michigan) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Preston, 5622 Deville Ct, East Lansing, MI 48823-2968 Ph: (517) 214-6917 | Kimberly Preston, 5622 Deville Ct, East Lansing, MI 48823-2968 Ph: (517) 214-6917 |
Rachelle Marie Thomas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Mary Carol Thiel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Mr. Robert Kranich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Abbey Rd Ste A, East Lansing, MI 48823 Phone: 517-333-6692 | |
Nancy Tucker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 400, East Lansing, MI 48823 Phone: 517-355-7648 Fax: 517-432-1319 | |
Jeffrey Travis King, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 160, East Lansing, MI 48823 Phone: 800-974-4378 Fax: 630-515-1536 | |
Mrs. Nirali Kushant Shah, B.P.T., R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 E Saginaw St, East Lansing, MI 48823 Phone: 517-337-3080 Fax: 517-337-3082 | |
Carl P Weaver, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Abbey Rd Ste A, East Lansing, MI 48823 Phone: 517-333-6692 Fax: 517-333-6705 |