| Clint Verran Sports Medicine, Inc | |
|
1261 S Lapeer Rd, Sutie 102, Lake Orion, MI 48360-1419 | |
| (248) 693-9411 | |
| (248) 693-9412 |
| Full Name | Clint Verran Sports Medicine, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1261 S Lapeer Rd, Lake Orion, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013033604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010788 (Michigan) | Primary |
| Provider Name | Clinton Verran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336272020 PECOS PAC ID: 0749269066 Enrollment ID: I20040719001136 |
| Provider Name | Laurie D Kowalick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710136478 PECOS PAC ID: 9537223896 Enrollment ID: I20090130000544 |
| Provider Name | Justin T Kessler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811209570 PECOS PAC ID: 2860633328 Enrollment ID: I20130725000292 |
| Provider Name | Nicholas S Goettel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023607678 PECOS PAC ID: 0749694263 Enrollment ID: I20210125001633 |
| Provider Name | William Shriver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972373728 PECOS PAC ID: 7012360001 Enrollment ID: I20240125003487 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Verran Sports Medicine, Inc 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 Ph: (248) 693-9411 | Clint Verran Sports Medicine, Inc 1261 S Lapeer Rd, Sutie 102, Lake Orion, MI 48360-1419 Ph: (248) 693-9411 |
Christopher Francis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1261 S Lapeer Rd, Ste 102, Lake Orion, MI 48360 Phone: 248-633-2640 Fax: 248-633-2643 | |
Mrs. Kimberly Nichole Wilkins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1375 S Lapeer Rd Ste 209, Lake Orion, MI 48360 Phone: 248-814-0500 | |
Renata Welker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-656-4330 | |
Jennifer Zeski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1261 S Lapeer Rd Ste 102, Lake Orion, MI 48360 Phone: 248-690-8030 Fax: 248-690-8029 | |
Kent Allion, M.PT., A.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1210 S Lapeer Rd, Lake Orion, MI 48360 Phone: 248-814-8060 Fax: 248-814-8070 | |
Candra Walters, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 S Lapeer Rd Ste 123, Lake Orion, MI 48360 Phone: 248-656-4330 Fax: 248-656-4331 |