| Spine Dynamics Pc | |
|
788 Prince Ave, Suite C, Athens, GA 30606-5912 | |
| (706) 543-2111 | |
| (706) 543-2190 |
| Full Name | Spine Dynamics Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 788 Prince Ave, Athens, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356549935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004796 (Georgia) | Primary |
| Provider Name | Hank W Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861417149 PECOS PAC ID: 7517863764 Enrollment ID: I20031209000935 |
| Provider Name | Kenneth Copes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336187665 PECOS PAC ID: 3971530619 Enrollment ID: I20050727000935 |
| Provider Name | Joseph Henry Kostuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396771598 PECOS PAC ID: 8022064278 Enrollment ID: I20170905002778 |
| Provider Name | Matthew Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992161178 PECOS PAC ID: 9830516947 Enrollment ID: I20200902003565 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Dynamics Pc 788 Prince Ave, Suite C, Athens, GA 30606-5912 Ph: (706) 543-2111 | Spine Dynamics Pc 788 Prince Ave, Suite C, Athens, GA 30606-5912 Ph: (706) 543-2111 |
Mary W Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 665 Gaines School Rd, Athens, GA 30605 Phone: 706-369-8115 | |
Dr. Margaret Helen Peterson, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-1259 | |
Matthew D Kellar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
William Davidson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Miles St, Athens, GA 30601 Phone: 706-546-1333 Fax: 706-546-1433 | |
Brianna Drake, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 755 Epps Bridge Pkwy, Athens, GA 30606 Phone: 706-995-7177 | |
The Speech Key, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Hawthorne Park, Suite B, Athens, GA 30606 Phone: 706-310-9241 Fax: 706-310-9276 | |
Kristen Dillon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Riverhill Dr, Athens, GA 30606 Phone: 706-369-7100 |