Mr Lars Mitchell, MPT OCS CSCS | |
409 W Main St, Kingsley, MI 49649-9481 | |
(231) 263-1001 | |
(231) 263-1002 |
Full Name | Mr Lars Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 409 W Main St, Kingsley, Michigan |
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 |
---|---|---|---|
1629035050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501010646 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kingsley Physical Therapy Pllc | 2264443530 | 4 |
Provider Name | Kingsley Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871549857 PECOS PAC ID: 2264443530 Enrollment ID: O20060530000021 |
Mailing Address | Practice Location Address |
---|---|
Mr Lars Mitchell, MPT OCS CSCS 409 W Main St, Kingsley, MI 49649-9481 Ph: (231) 263-1001 | Mr Lars Mitchell, MPT OCS CSCS 409 W Main St, Kingsley, MI 49649-9481 Ph: (231) 263-1001 |
Erica Dense, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 Fax: 231-263-1353 | |
Carlene Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Brewster Trl, Kingsley, MI 49649 Phone: 231-342-5643 | |
Mrs. Kari Jo Speckman, MS PT CMLDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 409 W Main St, Kingsley, MI 49649 Phone: 231-263-1001 Fax: 231-263-1002 | |
Emily Wolf, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 | |
Mrs. Shannon Christine Nemeth, M.S., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 Fax: 231-263-1353 | |
Cameron Gregory Sipple, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-633-1574 |