Mr Brian Michael Graf, PT ATC | |
2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | |
(314) 961-3804 | |
(314) 961-1147 |
Full Name | Mr Brian Michael Graf |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2937 S Brentwood Blvd, Brentwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154431278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2003003705 (Missouri) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Michael Graf, PT ATC 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | Mr Brian Michael Graf, PT ATC 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 Ph: (314) 961-3804 |
Margaret E Braida, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Dr. Nicole R Jackson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1335 Strassner Dr, Brentwood, MO 63144 Phone: 313-289-0178 | |
Jacqueline D Schranck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Whitney Korgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144 Phone: 636-515-3859 | |
Kamrun N Alam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144 Phone: 314-218-8966 Fax: 314-781-3448 | |
Holly M Banark, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 |