Mikal D Davis, PT | |
11928 Iron Bridge Plz, Chester, VA 23831-1441 | |
(804) 425-4545 | |
(804) 425-4546 |
Full Name | Mikal D Davis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 11928 Iron Bridge Plz, Chester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548370299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305204371 (Virginia) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | Ivyrehab Sept, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 |
Mailing Address | Practice Location Address |
---|---|
Mikal D Davis, PT 5717 Bradington Ct, Glen Allen, VA 23059-6942 Ph: (646) 345-5029 | Mikal D Davis, PT 11928 Iron Bridge Plz, Chester, VA 23831-1441 Ph: (804) 425-4545 |
Mrs. Dawn Tammy Snow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13048 Rivers Bend Rd, Chester, VA 23836 Phone: 804-530-3330 Fax: 804-530-9998 | |
James P. Stroebel, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10400 Iron Bridge Rd, Chester, VA 23831 Phone: 804-796-1518 Fax: 804-796-1543 | |
Dr. Makenzi Spink Smithson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Festival Park Plz, Chester, VA 23831 Phone: 804-930-8280 Fax: 804-930-8101 | |
Diana W Brooks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10400 Iron Bridge Rd, Chester, VA 23831 Phone: 804-796-1518 Fax: 804-796-1543 | |
Nicole B Sandridge, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13048 Rivers Bend Rd, Chester, VA 23836 Phone: 804-523-0333 Fax: 804-530-9998 | |
Amy Willingham Dodd, MSPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 13904 Twin Cliffs Ln, Chester, VA 23831 Phone: 804-399-8680 | |
Kellie Taylor Hoffman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3509 Festival Park Plz, Chester, VA 23831 Phone: 804-946-1250 |