Mackenzie Kelly, DPT | |
1013 W University Ave Ste 335, Georgetown, TX 78628-5343 | |
(512) 876-2111 | |
Not Available |
Full Name | Mackenzie Kelly |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1013 W University Ave Ste 335, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306573225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Kelly, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Mackenzie Kelly, DPT 1013 W University Ave Ste 335, Georgetown, TX 78628-5343 Ph: (512) 876-2111 |
Andrew P Creal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4879 Williams Dr Ste 103, Georgetown, TX 78633 Phone: 512-843-0118 Fax: 512-843-0108 | |
Ashler Gowen, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1502 Blue Ridge Drive, Suite 304, Georgetown, TX 78626 Phone: 512-699-1228 | |
Ms. Ma Nila Romano Seno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4011 Williams Dr, Georgetown, TX 78628 Phone: 512-868-2700 | |
Honoree Mcgraw Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4402 Williams Dr Ste 115, Georgetown, TX 78628 Phone: 336-782-1555 | |
Mr. Jeffrey Lum, PT, MPT, DIP MDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Quail Valley Dr, Georgetown, TX 78626 Phone: 512-559-6551 Fax: 512-591-0789 | |
Jissa Thayil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2406 Brookhollow Ter, Georgetown, TX 78626 Phone: 183-262-0316 | |
Cari Springfield, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3610 Williams Dr, Georgetown, TX 78628 Phone: 972-965-2274 |