| Matthew Vandendaele, PT, DPT | |
|
1860 N Church Rd, Liberty, MO 64068-7179 | |
| (816) 368-8226 | |
| Not Available |
| Full Name | Matthew Vandendaele |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1860 N Church Rd, Liberty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417626516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 11-06898 (Kansas) | Primary |
| Provider Name | Fit Muscle & Joint Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801350921 PECOS PAC ID: 5991935579 Enrollment ID: O20221031002698 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Vandendaele, PT, DPT 22120 Midland Dr, Shawnee, KS 66226-3554 Ph: (913) 745-4064 | Matthew Vandendaele, PT, DPT 1860 N Church Rd, Liberty, MO 64068-7179 Ph: (816) 368-8226 |
Mr. Craig Bolles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 Kara Ct, Suite #a-1, Liberty, MO 64068 Phone: 816-407-1249 Fax: 816-407-1259 | |
Jordan Nichol Puvogel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 S Forrest Ave, Liberty, MO 64068 Phone: 816-429-5199 Fax: 816-429-7129 | |
Chad E Helmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Ne 96th St, Ste A, Liberty, MO 64068 Phone: 816-792-0775 Fax: 816-792-0776 | |
Reese Jordan Bennett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 229 S Stewart Rd Ste E-3, Liberty, MO 64068 Phone: 816-656-3695 Fax: 816-656-3696 | |
Rachel Lynn Bowling, DT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 Norterre Cir, Liberty, MO 64068 Phone: 816-463-8849 Fax: 816-481-8781 | |
Mr. Gary Dwayne Eichenberger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 S Forrest Ave, Liberty, MO 64068 Phone: 515-341-2721 | |
Debra Hohn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 398 Blue Jay Dr, Liberty, MO 64068 Phone: 816-407-2315 Fax: 816-407-1555 |