Mr Randall Lewis Craig, PT ATC | |
134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 | |
(636) 812-0094 | |
(636) 812-0152 |
Full Name | Mr Randall Lewis Craig |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 134 Chesterfield Valley Dr, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306946389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | R1130 (Missouri) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
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Mr Randall Lewis Craig, PT ATC 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Mr Randall Lewis Craig, PT ATC 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 Ph: (636) 812-0094 |
Nicholas Louis Hennicke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-536-3800 | |
Midwest Physical Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14821 Clayton Rd, Chesterfield, MO 63017 Phone: 636-227-0559 Fax: 636-227-0232 | |
Advanced Training And Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 14450 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 314-434-6060 | |
Mrs. Jacqueline Ann Mcmanus, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017 Phone: 636-489-4116 | |
Elizabeth Beckner, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017 Phone: 314-205-8858 Fax: 314-205-2113 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 14825 N Outer 40 Rd Ste 300, Chesterfield, MO 63017 Phone: 636-812-1211 Fax: 636-812-0159 | |
Manual Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17300 N Outer 40, Suite 205, Chesterfield, MO 63005 Phone: 636-728-1777 Fax: 636-728-1793 |