Michael Brantley Stricker, PT, DPT | |
811 N 1st St, Vienna, IL 62995-1544 | |
(618) 658-8144 | |
(618) 658-9146 |
Full Name | Michael Brantley Stricker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 811 N 1st St, Vienna, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215201322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070019012 (Illinois) | Primary |
Provider Name | Performance Care Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073939526 PECOS PAC ID: 3375811342 Enrollment ID: O20201221002415 |
Mailing Address | Practice Location Address |
---|---|
Michael Brantley Stricker, PT, DPT 811 N 1st St, Vienna, IL 62995-1544 Ph: (618) 658-8144 | Michael Brantley Stricker, PT, DPT 811 N 1st St, Vienna, IL 62995-1544 Ph: (618) 658-8144 |
Kimberly Dawn Ecker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 N 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Rachel Ann Edmonds, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 811 N 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Mr. Gregory M Blakely, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 North 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Jessica Renee Mccowan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 N 1st St, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Real Rehabilitation Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 811 N 1st St, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 |