Logan Miller, | |
1111 N Kentucky Ave, West Plains, MO 65775-2028 | |
(417) 257-5959 | |
Not Available |
Full Name | Logan Miller |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1111 N Kentucky Ave, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003414814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ozarks Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Mailing Address | Practice Location Address |
---|---|
Logan Miller, 11004 State Route 17, West Plains, MO 65775-5861 Ph: () - | Logan Miller, 1111 N Kentucky Ave, West Plains, MO 65775-2028 Ph: (417) 257-5959 |
Emily Elliott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Gibson St, West Plains, MO 65775 Phone: 417-255-9577 | |
Ms. Deanna J Miller, PT, MPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9068 Private Road 6421, West Plains, MO 65775 Phone: 417-543-2744 Fax: 417-256-1584 | |
Paul Byrum, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1480 8th St, West Plains, MO 65775 Phone: 417-256-5669 Fax: 417-256-5699 | |
Brody Paul Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-5959 | |
Karla Daffron, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-5959 | |
Mrs. Mary H Schrag, PT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1480 W 8th St, West Plains, MO 65775 Phone: 417-256-5669 Fax: 417-256-5699 |