Mckael Conatser, PT, DPT | |
1010 Old Highway 127 S, Jamestown, TN 38556-5648 | |
(931) 879-4066 | |
(931) 879-4071 |
Full Name | Mckael Conatser |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1010 Old Highway 127 S, Jamestown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871357012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15459 (Tennessee) | Primary |
Provider Name | South Fork Physical Therapy Rehab |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699840397 PECOS PAC ID: 2365410461 Enrollment ID: O20040916001267 |
Mailing Address | Practice Location Address |
---|---|
Mckael Conatser, PT, DPT 530 Industrial Ln, Oneida, TN 37841-6311 Ph: (423) 569-3443 | Mckael Conatser, PT, DPT 1010 Old Highway 127 S, Jamestown, TN 38556-5648 Ph: (931) 879-4066 |
Mrs. Miriam Ines Guerrero, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1410 Frank Campbell Rd, Jamestown, TN 38556 Phone: 931-704-0668 | |
Mr. Reynaldo Cabanilla Cabarlo, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 West Central Ave., Jamestown, TN 38556 Phone: 931-879-4301 Fax: 931-879-4302 | |
Mrs. Marife Candelaria Cabarlo, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 W. Central Avenue, Jamestown, TN 38556 Phone: 931-879-4302 | |
Kelvin Russell Smith Ii, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 433 West Central Ave, Suite B, Jamestown, TN 38556 Phone: 931-879-4066 Fax: 931-879-4071 |