Mr Kip A Smith, PT | |
115 1st St W, # 3, Milaca, MN 56353-1101 | |
(320) 362-7900 | |
(320) 362-7904 |
Full Name | Mr Kip A Smith |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 29 Years |
Location | 115 1st St W, Milaca, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497854392 | NPI | - | NPPES |
170123100 | Medicaid | MN | |
1306173950 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9466 (Minnesota) | Secondary |
111N00000X | Chiropractor | 6543 (Minnesota) | Primary |
Provider Name | St Raphaels Chiropractic Care Center Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740816941 PECOS PAC ID: 1456780071 Enrollment ID: O20200402002767 |
Mailing Address | Practice Location Address |
---|---|
Mr Kip A Smith, PT 115 1st St W, # 3, Milaca, MN 56353-1101 Ph: (320) 362-7900 | Mr Kip A Smith, PT 115 1st St W, # 3, Milaca, MN 56353-1101 Ph: (320) 362-7900 |
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St Raphaels Chiropractic Care Center Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 115 1st St W # 3, Milaca, MN 56353 Phone: 320-362-7900 Fax: 320-362-7904 |