Tina Yeagley, | |
44 Donaldson Rd, Tremont, PA 17981-1424 | |
(570) 695-3141 | |
(570) 695-2623 |
Full Name | Tina Yeagley |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 44 Donaldson Rd, Tremont, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699105577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT021837 (Pennsylvania) | Primary |
Provider Name | Jasper Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073231015 PECOS PAC ID: 1052788874 Enrollment ID: O20221108003068 |
Mailing Address | Practice Location Address |
---|---|
Tina Yeagley, 44 Donaldson Rd, Tremont, PA 17981-1424 Ph: (570) 695-3141 | Tina Yeagley, 44 Donaldson Rd, Tremont, PA 17981-1424 Ph: (570) 695-3141 |
Mrs. Jana Lynn Mace, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Donaldson Rd, Tremont, PA 17981 Phone: 570-695-3141 Fax: 570-695-2264 | |
Matt Shoener, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Donaldson Rd, Tremont, PA 17981 Phone: 570-695-3493 Fax: 570-695-2264 | |
Mrs. Stacy Lynn Miller, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Donaldson Rd, Tremont, PA 17981 Phone: 570-695-3141 |