Kelli Anne Cruthirds, SLP | |
1601 Central Ave W, Wiggins, MS 39577-2401 | |
(601) 716-3196 | |
(601) 974-9919 |
Full Name | Kelli Anne Cruthirds |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1601 Central Ave W, Wiggins, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104667112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | S-5090 (Mississippi) | Primary |
Provider Name | Southern Physical Therapy Clinic Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801370929 PECOS PAC ID: 6103167184 Enrollment ID: O20190402000733 |
Mailing Address | Practice Location Address |
---|---|
Kelli Anne Cruthirds, SLP 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 Ph: (769) 242-2626 | Kelli Anne Cruthirds, SLP 1601 Central Ave W, Wiggins, MS 39577-2401 Ph: (601) 716-3196 |
Belinda Evans, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 Critz St N, Wiggins, MS 39577 Phone: 601-928-7247 | |
Cynthia Wasilenko, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889 | |
Autrionne D Monroe, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 | |
Mary Catherine Buzhardt, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889 Fax: 228-575-2917 | |
Sarah Huba, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 Critz St N, Wiggins, MS 39577 Phone: 601-928-7247 | |
Erica R Palmer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 |