Tyge L Sanborn, PT | |
1500 S Case St, Carthage, MO 64836-2813 | |
(417) 359-0625 | |
Not Available |
Full Name | Tyge L Sanborn |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1500 S Case St, Carthage, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811567548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-02404 (Kansas) | Primary |
225100000X | Physical Therapist | 117352 (Missouri) | Secondary |
Provider Name | Freeman-oak Hill Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20031215000534 |
Mailing Address | Practice Location Address |
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Tyge L Sanborn, PT Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-4662 | Tyge L Sanborn, PT 1500 S Case St, Carthage, MO 64836-2813 Ph: (417) 359-0625 |
Cara Sheldon Terry, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 N Black Powder Ln, Carthage, MO 64836 Phone: 512-656-0673 | |
Amy Michelle Gossen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1911 Buena Vista Ave, Carthage, MO 64836 Phone: 417-358-0209 Fax: 417-358-3207 | |
Mrs. Whitney D. Hussey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1911 Buena Vista Ave, Carthage, MO 64836 Phone: 417-358-0209 Fax: 417-358-3207 | |
Maria Leneth Erispe Choca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Buena Vista Ave, Carthage, MO 64836 Phone: 417-358-3440 Fax: 417-359-5617 | |
Lindsay Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2510 Clinton St, Carthage, MO 64836 Phone: 417-825-2375 |