| |
122 E Glaydas Ave, Hooker, OK 73945-7394 | |
(580) 652-1111 | |
(580) 652-1111 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 122 E Glaydas Ave, Hooker, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497154876 | NPI | - | NPPES |
200118240A | Medicaid | OK | |
OK400025 | Other | OK | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jeremy B Rapp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396935201 PECOS PAC ID: 7214020643 Enrollment ID: I20070830000555 |
Mailing Address | Practice Location Address |
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102 S. Broadway, Hooker, OK 73945 Ph: (580) 652-1111 | 122 E Glaydas Ave, Hooker, OK 73945-7394 Ph: (580) 652-1111 |
Jeremy Beau Rapp, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 E Glaydas, Hooker, OK 73945 Phone: 580-652-1111 Fax: 580-652-1112 |