Mrs Stacy Jo Kettler, PT - Physical Therapist in De Soto, MO

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Mrs Stacy Jo Kettler, PT is a Physical Therapist based in De Soto, Missouri. Mrs Stacy Jo Kettler is licensed to practice in Missouri (license number 2000152525) and her current practice location is 1108 Clarke St, De Soto, Missouri. She can be reached at her office (for appointments etc.) via phone at (636) 586-0895.

NPI number for Mrs Stacy Jo Kettler is 1801056064 and her current mailing address is 2827 Heather Wood Ln, Festus, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801056064.

Contact Information

Mrs Stacy Jo Kettler, PT
1108 Clarke St,
De Soto, MO 63020-2706
(636) 586-0895
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Stacy Jo Kettler
GenderFemale
SpecialityPhysical Therapist
Location1108 Clarke St, De Soto, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801056064
  • Provider Enumeration Date: 06/11/2008
  • Last Update Date: 06/11/2008

Medical Identifiers

Medical identifiers for Mrs Stacy Jo Kettler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801056064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2000152525 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy Jo Kettler is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stacy Jo Kettler, PT
2827 Heather Wood Ln,
Festus, MO 63028-3140

Ph: (636) 931-2327		Mrs Stacy Jo Kettler, PT
1108 Clarke St,
De Soto, MO 63020-2706

Ph: (636) 586-0895

Reviews and Comments


Physical Therapist in De Soto, MO

Mrs. Donna Tipton, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1525 Villa Dr, De Soto, MO 63020
Phone: 636-931-5818    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.