| Sptc | |
|
322 N Central Ave, Eureka, MO 63025-1826 | |
| (636) 938-4065 | |
| (636) 938-4067 |
| Full Name | Sptc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 322 N Central Ave, Eureka, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770514879 | NPI | - | NPPES |
| 11299 | Other | ESSENCE | |
| P00158791 | Other | MEDICARE RAILROAD | |
| 683038 | Other | HEALTHLINK | |
| 227075 | Other | GHP ADVANTRA CMR | |
| 6400737 | Other | UNITED HEALTHCARE | |
| 193453 | Other | MO | BLUE CROSS BLUE SHIELD |
| 610149300 | Other | DEPARTMENT OF LABOR | |
| 7889614 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2001005492 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sptc 322 N Central Ave, Eureka, MO 63025-1826 Ph: (636) 938-4065 | Sptc 322 N Central Ave, Eureka, MO 63025-1826 Ph: (636) 938-4065 |
Nicholas B Wildman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152 | |
Amanda M Nahlik, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152 | |
Arthur J Mcalister, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 N Central Ave, Eureka, MO 63025 Phone: 636-938-4065 | |
Bradly Tiehes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152 | |
Justine Alane Wiles, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 179 Eureka Towne Center Dr, Eureka, MO 63025 Phone: 636-206-6725 | |
Mrs. Kim Miller, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Hilltop Village Center Dr, Suite B, Eureka, MO 63025 Phone: 636-938-9373 Fax: 636-938-9373 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152 |