Taylor Robertson Faulkner, DPT | |
305 N Main St, Water Valley, MS 38965-2505 | |
(662) 714-4472 | |
(662) 714-4463 |
Full Name | Taylor Robertson Faulkner |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 305 N Main St, Water Valley, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467174748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH10989 (Alabama) | Secondary |
225100000X | Physical Therapist | PT7351 (Mississippi) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477224814 PECOS PAC ID: 4789602681 Enrollment ID: O20211115001046 |
Mailing Address | Practice Location Address |
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Taylor Robertson Faulkner, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Taylor Robertson Faulkner, DPT 305 N Main St, Water Valley, MS 38965-2505 Ph: (662) 714-4472 |
Andrew C Jeffreys, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 S Main St, Water Valley, MS 38965 Phone: 662-473-4777 Fax: 662-473-2233 | |
Cornerstone Rehabilitation, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 S Main St, Water Valley, MS 38965 Phone: 662-473-4777 Fax: 662-473-2233 | |
Tyler Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Water Valley, MS 38965 Phone: 662-714-4472 Fax: 662-714-4463 | |
Carrie Aden Mcdaniel, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 N Main St, Water Valley, MS 38965 Phone: 662-714-4472 | |
Mrs. Jennifer S Mcgavock, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 S Main St, Water Valley, MS 38965 Phone: 662-473-4777 Fax: 662-473-2233 | |
Grady Madison Kuykendall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 630 S Main St, Water Valley, MS 38965 Phone: 662-473-5947 |