Krista Ellis, | |
730 Kimole Ln, Adrian, MI 49221-1463 | |
(517) 263-6771 | |
Not Available |
Full Name | Krista Ellis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 730 Kimole Ln, Adrian, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174032304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018424 (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 |
---|---|
Krista Ellis, 1003 Gellatly Ct, Owosso, MI 48867-1889 Ph: (989) 413-9001 | Krista Ellis, 730 Kimole Ln, Adrian, MI 49221-1463 Ph: (517) 263-6771 |
Mrs. Karen Helen Liberi, KAREN LIBERI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3806 Hillside Ct, Adrian, MI 49221 Phone: 517-759-4921 | |
Mr. Gary Wynn Gray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 W Us 223, Suite 100, Adrian, MI 49221 Phone: 517-263-3378 Fax: 517-263-4527 | |
Amitbhai K Dave, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1136 Country Club Rd, Suite A, Adrian, MI 49221 Phone: 517-264-6141 Fax: 517-263-5786 | |
Kayla B Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 S Main St, Adrian, MI 49221 Phone: 517-312-1711 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 W Maumee St, Suite 125, Adrian, MI 49221 Phone: 517-264-6141 Fax: 517-263-5786 | |
Mr. Aaron Dean Deline, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Maumee St, Suite 3, Adrian, MI 49221 Phone: 517-265-6007 Fax: 517-265-5930 | |
Katherine Ellen Burns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 S Main St, Adrian, MI 49221 Phone: 517-312-1712 |