| Cedarcrest Healthcare Group Llc | |
|
355 Pine St, Chadron, NE 69337-2235 | |
| (308) 360-8083 | |
| Not Available |
| Full Name | Cedarcrest Healthcare Group Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 355 Pine St, Chadron, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730825324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | David Kings Oginni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467807149 PECOS PAC ID: 1052733862 Enrollment ID: I20230315001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarcrest Healthcare Group Llc 355 Pine St, Chadron, NE 69337-2235 Ph: (832) 298-8811 | Cedarcrest Healthcare Group Llc 355 Pine St, Chadron, NE 69337-2235 Ph: (308) 360-8083 |
Dr. Keith Bradley Blaylock, PT, DPT, OCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-0232 Fax: 308-432-0268 | |
Eser Graham-marski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-0232 Fax: 308-432-0268 | |
Mr. Robert Leroy Griese, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Morehead St, Chadron, NE 69337 Phone: 308-432-0232 Fax: 308-432-0268 | |
Jera Lynn Boeselager, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-0232 Fax: 308-432-0268 |