| Mr Roberto Arevalo Valientes Jr, | |
|
8017 Dogwood Ln, Milan, TN 38358 | |
| (731) 686-8373 | |
| Not Available |
| Full Name | Mr Roberto Arevalo Valientes Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8017 Dogwood Ln, Milan, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881745891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2598 (Tennessee) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roberto Arevalo Valientes Jr, 16 Leigh Ln, Jackson, TN 38305-2054 Ph: () - | Mr Roberto Arevalo Valientes Jr, 8017 Dogwood Ln, Milan, TN 38358 Ph: (731) 686-8373 |
Adam Clark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6070 S 1st St Ste D, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-613-2215 | |
Jackson David Clouse, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2060 Rhino Crossing, Milan, TN 38358 Phone: 731-613-2214 | |
Dr. Howell Scott Holmes Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2047 Kefauver Dr Ste B, Milan, TN 38358 Phone: 731-238-1181 Fax: 731-300-2350 | |
Kendra G Smith, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2060 Rhino Xing, Milan, TN 38358 Phone: 731-613-2214 | |
Kelly Harris Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6070 S 1st St Ste D, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-613-2215 | |
Peyton Prescott, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2060 Rhino Xing, Milan, TN 38358 Phone: 731-613-2214 | |
Dr. Taylor Ann Skelton Crouse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Rhino Crossing, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-612-2215 |