Mrs Ivey Melissa Hardison, DPT | |
621 W 21st St, Andover, KS 67002-8498 | |
(316) 733-1349 | |
(316) 733-0919 |
Full Name | Mrs Ivey Melissa Hardison |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 621 W 21st St, Andover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770967341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1105117 (Kansas) | Primary |
Provider Name | Fox Rehab Agency Ms Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ivey Melissa Hardison, DPT 621 W 21st St, Andover, KS 67002-8498 Ph: (316) 733-1349 | Mrs Ivey Melissa Hardison, DPT 621 W 21st St, Andover, KS 67002-8498 Ph: (316) 733-1349 |
Dr. Stephanie Danielle Blake, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 | |
Top Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Terradyne Cir, Andover, KS 67002 Phone: 316-209-8636 | |
Cody Glick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-201-6983 | |
Jason P Camblin, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 E Central Ave, Andover, KS 67002 Phone: 316-733-1331 Fax: 316-733-4916 | |
Matt Alan Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 | |
Mr. Felipe J Lim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 | |
Valen Villo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 |