Libby Ann Wilson, | |
500 Jefferson St, Pella, IA 50219-1255 | |
(641) 628-6623 | |
(641) 628-4836 |
Full Name | Libby Ann Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 500 Jefferson St, Pella, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952089757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 119970 (Iowa) | Primary |
Provider Name | Pella Regional Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053369405 PECOS PAC ID: 9931005873 Enrollment ID: O20031210000914 |
Mailing Address | Practice Location Address |
---|---|
Libby Ann Wilson, 404 Jefferson St, Pella, IA 50219-1257 Ph: (641) 621-2347 | Libby Ann Wilson, 500 Jefferson St, Pella, IA 50219-1255 Ph: (641) 628-6623 |
Kelly Gibson, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2525 Washington St, Pella, IA 50219 Phone: 641-628-6728 Fax: 641-628-6727 | |
Michelle Morgan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 Se 9th St, Pella, IA 50219 Phone: 641-621-0230 Fax: 641-621-0319 | |
Vincent Van Haute, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2602 Fifield Rd, Pella, IA 50219 Phone: 641-458-6411 | |
Pella Health & Fitness Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Fifield Rd, Pella, IA 50219 Phone: 641-621-1401 Fax: 614-628-7308 | |
Elizabeth Audrey Vermeer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8894 | |
Mark A Blankespoor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 Se 9th St, Pella, IA 50219 Phone: 641-621-0230 Fax: 641-621-0319 | |
Mr. David K Carroll, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6623 Fax: 641-621-2223 |