| Mr Ilde Boy Tan Velasco, PT, DPT | |
|
3500 Century Dr, Granite City, IL 62040-2166 | |
| (618) 877-2700 | |
| Not Available |
| Full Name | Mr Ilde Boy Tan Velasco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3500 Century Dr, Granite City, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316674112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ilde Boy Tan Velasco, PT, DPT 4503 E Foxmoor Ln, Lafayette, IN 47905-8562 Ph: (765) 421-9840 | Mr Ilde Boy Tan Velasco, PT, DPT 3500 Century Dr, Granite City, IL 62040-2166 Ph: (618) 877-2700 |
Mr. Walter P Griffith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Melanie M Kozak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3135 Fax: 618-798-3140 | |
Miss Jenna Anne Davis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1503 Lindell Blvd, Granite City, IL 62040 Phone: 618-709-4125 Fax: 618-709-4126 | |
Mr. Timothy J Knox, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Walnut St, Granite City, IL 62040 Phone: 618-452-2111 Fax: 618-225-6417 | |
Mrs. Carla Ann Buzan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3135 Fax: 618-798-3505 | |
Dr. Michael Lockenvitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1503 Lindell Blvd, Granite City, IL 62040 Phone: 618-709-4125 |