| Mr Gregory M Blakely, | |
|
811 North 1st Street, Vienna, IL 62995 | |
| (618) 658-8144 | |
| (618) 658-9146 |
| Full Name | Mr Gregory M Blakely |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 811 North 1st Street, Vienna, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538663463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.005246 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory M Blakely, 811 North 1st Street, Vienna, IL 62995 Ph: (618) 658-8144 | Mr Gregory M Blakely, 811 North 1st Street, Vienna, IL 62995 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 | |
Michael Brantley Stricker, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 811 N 1st St, 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 | |
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 |