Micah Vailes, | |
675 S Jefferson Ave Ste C, Cookeville, TN 38501-0949 | |
(931) 528-8822 | |
Not Available |
Full Name | Micah Vailes |
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Gender | Male |
Speciality | Physical Therapist |
Location | 675 S Jefferson Ave Ste C, Cookeville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952010621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13786 (Tennessee) | Primary |
Provider Name | Tennessee Therapy & Balance Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942624341 PECOS PAC ID: 9739303462 Enrollment ID: O20140618002431 |
Mailing Address | Practice Location Address |
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Micah Vailes, 675 S Jefferson Ave Ste C, Cookeville, TN 38501-0949 Ph: () - | Micah Vailes, 675 S Jefferson Ave Ste C, Cookeville, TN 38501-0949 Ph: (931) 528-8822 |
Ryan Mcqueen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 675 S Jefferson Ave Ste C, Cookeville, TN 38501 Phone: 931-528-8822 Fax: 931-528-8822 | |
Katherine Butler Seale, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1140 Perimeter Park Dr, Cookeville, TN 38501 Phone: 931-526-2345 | |
Nikki Orazine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 444 One Eleven Pl, Cookeville, TN 38506 Phone: 931-525-6655 | |
Cookeville Chiropractic And Physical Therapy, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 132 S Lowe Ave, Cookeville, TN 38501 Phone: 931-526-3151 | |
Marsha L Bowman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 N Oak Ave, Cookeville, TN 38501 Phone: 931-528-2128 | |
Mr. Richard Todd Burks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-253-1973 | |
Michelle Hoback, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 N Washington Ave Ste 240, Cookeville, TN 38501 Phone: 931-854-1203 |