Logan J Koopman, DPT | |
14081 Manchester Rd, Ballwin, MO 63011-4513 | |
(636) 493-8642 | |
Not Available |
Full Name | Logan J Koopman |
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Gender | Male |
Speciality | Physical Therapist |
Location | 14081 Manchester Rd, Ballwin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750906400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 100737 (Iowa) | Primary |
Provider Name | Mcfarland Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639135643 PECOS PAC ID: 1254244239 Enrollment ID: O20031106000338 |
Mailing Address | Practice Location Address |
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Logan J Koopman, DPT 647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032 Ph: (636) 223-5700 | Logan J Koopman, DPT 14081 Manchester Rd, Ballwin, MO 63011-4513 Ph: (636) 493-8642 |
Ronald Drainer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 767 Arbor Haven Dr, Ballwin, MO 63021 Phone: 314-660-5068 | |
Kelley M Mcgaughey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15425 Manchester Rd, Ste.28, Ballwin, MO 63011 Phone: 636-220-6969 Fax: 636-220-6973 | |
Laura Clasen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Dr Ste 104, Ballwin, MO 63021 Phone: 314-822-5107 Fax: 314-822-5106 | |
Amelia Helen Bottcher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Barrett Station Rd Ste 200, Ballwin, MO 63021 Phone: 314-238-1130 | |
Dr. Jamie Baumer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14081 Manchester Rd, Ballwin, MO 63011 Phone: 636-493-8642 | |
Vanda Dang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15587 Manchester Rd, Ballwin, MO 63011 Phone: 636-256-0300 Fax: 636-256-0931 | |
Jodi Bielicke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15425 Manchester Rd Ste 28, Ballwin, MO 63011 Phone: 636-467-2730 |