Mr Keith Hausman, PT is a
Physical Therapist based in Pioneer, Tennessee. Mr Keith Hausman is licensed to practice in Tennessee (license number PT0000000900) and his current practice location is
980 Lone Rd, Pioneer, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 784-4704.
NPI number for Mr Keith Hausman is 1508264144 and his current mailing address is Po Box 541, Jellico, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508264144.
Healthcare Provider's Profile
| Full Name | Mr Keith Hausman |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 980 Lone Rd, Pioneer, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508264144
- Provider Enumeration Date: 12/14/2014
- Last Update Date: 12/14/2014
Medical Identifiers
Medical identifiers for Mr Keith Hausman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508264144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT0000000900 (Tennessee) | Primary |
| 225100000X | Physical Therapist | PT001043 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith Hausman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Keith Hausman, PT
Po Box 541,
Jellico, TN 37762-0541
Ph: (423) 784-4704 | Mr Keith Hausman, PT
980 Lone Rd,
Pioneer, TN 37847-4236
Ph: (423) 784-4704 |
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