Physt | |
5447 Shady Pine St S, Jacksonville, FL 32244-8543 | |
(318) 272-2044 | |
Not Available |
Full Name | Physt |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5447 Shady Pine St S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053854711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | PT29037 (Florida) | Secondary |
Provider Name | Chayla Creer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891108262 PECOS PAC ID: 9234357195 Enrollment ID: I20140906000066 |
Mailing Address | Practice Location Address |
---|---|
Physt 5447 Shady Pine St S, Jacksonville, FL 32244-8543 Ph: (904) 613-1195 | Physt 5447 Shady Pine St S, Jacksonville, FL 32244-8543 Ph: (318) 272-2044 |
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