Mr Kevin Dale Griggs, PT | |
502 W Saint Louis St, Suite 5, West Frankfort, IL 62896-1968 | |
(618) 937-6200 | |
(618) 937-6204 |
Full Name | Mr Kevin Dale Griggs |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 502 W Saint Louis St, West Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720238983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070016700 (Illinois) | Primary |
Provider Name | Rci (wrs), Llc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417561655 PECOS PAC ID: 5092624510 Enrollment ID: O20120406000287 |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942475488 PECOS PAC ID: 9537076401 Enrollment ID: O20180808002894 |
Mailing Address | Practice Location Address |
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Mr Kevin Dale Griggs, PT 502 W Saint Louis St, Suite 5, West Frankfort, IL 62896-1968 Ph: (618) 937-6200 | Mr Kevin Dale Griggs, PT 502 W Saint Louis St, Suite 5, West Frankfort, IL 62896-1968 Ph: (618) 937-6200 |
Jeffrey Fox, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 326 E Main St, West Frankfort, IL 62896 Phone: 618-937-6204 Fax: 618-937-6204 | |
Julie Kristen Freeman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 W Saint Louis St Ste 3, West Frankfort, IL 62896 Phone: 618-937-6200 Fax: 618-937-6204 | |
Jared Johnston, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-8902 | |
Ms. Laura D Estes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Cleveland St, West Frankfort, IL 62896 Phone: 618-937-2797 Fax: 618-937-2591 |