| Nicole Burgess, PT | |
|
451 Health Pkwy, Paw Paw, MI 49079-8242 | |
| (269) 657-1490 | |
| (269) 657-1444 |
| Full Name | Nicole Burgess |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 451 Health Pkwy, Paw Paw, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194914648 | NPI | - | NPPES |
| 200876240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05009436A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 5501013985 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Burgess, PT 451 Health Pkwy, Paw Paw, MI 49079-8242 Ph: (269) 657-1490 | Nicole Burgess, PT 451 Health Pkwy, Paw Paw, MI 49079-8242 Ph: (269) 657-1490 |
Erin Aerts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 | |
Piotr Jan Mietusiewicz, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 Fax: 269-655-0766 | |
Kinju Dudhia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Kristy Leigh Wilkinson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Marlesa Maria Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Mr. Daniel E Laird, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 Fax: 269-657-1444 |