Thomas William Kirkby, DPT | |
2609 Charlevoix Ave, Petoskey, MI 49770-8524 | |
(989) 858-5107 | |
Not Available |
Full Name | Thomas William Kirkby |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2609 Charlevoix Ave, Petoskey, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942464870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501013904 (Michigan) | Primary |
Provider Name | Pgpt, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1083456834 PECOS PAC ID: 9537690441 Enrollment ID: O20241002003878 |
Mailing Address | Practice Location Address |
---|---|
Thomas William Kirkby, DPT 2609 Charlevoix Ave, Petoskey, MI 49770-8336 Ph: (989) 858-5107 | Thomas William Kirkby, DPT 2609 Charlevoix Ave, Petoskey, MI 49770-8524 Ph: (989) 858-5107 |
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