Michael Fettkether, | |
112 2nd St Nw, Waverly, IA 50677-2619 | |
(319) 352-0102 | |
Not Available |
Full Name | Michael Fettkether |
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Gender | Male |
Speciality | Physical Therapist |
Location | 112 2nd St Nw, Waverly, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235832650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Rock Valley Physical Therapy Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20080513000596 |
Mailing Address | Practice Location Address |
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Michael Fettkether, 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Michael Fettkether, 112 2nd St Nw, Waverly, IA 50677-2619 Ph: (319) 352-0102 |
Jennifer Sue Hansen, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-5644 | |
Shelby Leigh Walsten, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-5644 Fax: 319-483-4004 | |
Ted J Mulert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1810 4th St Sw Ste 103, Waverly, IA 50677 Phone: 319-352-1234 Fax: 319-352-4655 | |
Taylor Physical Therapy Assoc. Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 W. Bremer Ave, Waverly, IA 50677 Phone: 319-559-2442 Fax: 319-559-2443 | |
Teresa Ann Moerer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-5644 Fax: 319-483-4004 | |
Taylor Physical Therapy Assoc. Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 3rd St. Sw, Waverly, IA 50677 Phone: 319-483-1375 Fax: 319-559-4245 | |
Katherine Jane Marrie Ringo, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 E Bremer Ave, Waverly, IA 50677 Phone: 319-352-4544 Fax: 319-352-4655 |