Mrs Emily Headley, DPT | |
1201 Ricker Rd, Salem, IL 62881-4263 | |
(618) 548-3194 | |
(618) 548-4902 |
Full Name | Mrs Emily Headley |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1201 Ricker Rd, Salem, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215455621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Provider Name | At Home By Enhance Therapies Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20220511002297 |
Mailing Address | Practice Location Address |
---|---|
Mrs Emily Headley, DPT 300 Green St, Odin, IL 62870-1062 Ph: (618) 775-6444 | Mrs Emily Headley, DPT 1201 Ricker Rd, Salem, IL 62881-4263 Ph: (618) 548-3194 |
Samuel Dalagan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Dogwood Ln, Salem, IL 62881 Phone: 618-548-8695 | |
Christopher Evan Meier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Amethyst Deneal, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Dr. Michael Beavin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Hawthorn Rd, Salem, IL 62881 Phone: 618-322-9896 | |
Jan Michael Pastrana Aguiling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Mr. Piodel Balgos Susmena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Briarwood Dr, Salem, IL 62881 Phone: 618-548-8633 Fax: 618-548-8633 |