Kristina Koettker, | |
14332 Nieman Rd, Overland Park, KS 66221-8144 | |
(913) 213-9876 | |
Not Available |
Full Name | Kristina Koettker |
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Gender | Female |
Speciality | Physical Therapist |
Location | 14332 Nieman Rd, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497151716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 112130 (Missouri) | Primary |
225100000X | Physical Therapist | 11-02799 (Kansas) | Secondary |
Provider Name | Phoenix Home Care, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841881869 PECOS PAC ID: 4183896004 Enrollment ID: O20190508003233 |
Mailing Address | Practice Location Address |
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Kristina Koettker, 14332 Nieman Rd, Overland Park, KS 66221-8144 Ph: () - | Kristina Koettker, 14332 Nieman Rd, Overland Park, KS 66221-8144 Ph: (913) 213-9876 |
Jennifer Jeanne Walawender, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10777 Nall Ave, Suite 320, Overland Park, KS 66211 Phone: 913-312-1777 | |
Donya Marie Goman, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7819 Conser Pl, Overland Park, KS 66204 Phone: 913-789-9900 | |
Dr. Joseph Taylor Stofferahn, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Nancy Jo Rosenthal Huck, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7279 W 105th St, Overland Park, KS 66212 Phone: 913-642-7746 Fax: 913-642-7745 | |
Kacie Beebe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Anne Wetterer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10300 W 103rd St., 300, Overland Park, KS 66214 Phone: 913-894-1910 | |
Regina Wood Sylvester, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Barkley St, Suite #330, Overland Park, KS 66212 Phone: 913-652-9229 |