| Performance Spine & Sport Llc | |
|
2597 S. Broadway Suite A, Pittsburg, KS 66762 | |
| (620) 308-6576 | |
| Not Available |
| Full Name | Performance Spine & Sport Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 2597 S. Broadway Suite A, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700278983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Primary |
| Provider Name | William Matthew Bennetts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790850287 PECOS PAC ID: 4789787086 Enrollment ID: I20140424001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Spine & Sport Llc 2597 S. Broadway Suite A, Pittsburg, KS 66762 Ph: (620) 308-6576 | Performance Spine & Sport Llc 2597 S. Broadway Suite A, Pittsburg, KS 66762 Ph: (620) 308-6576 |
Jennifer Long, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1117 W 4th St, Pittsburg, KS 66762 Phone: 620-308-5374 | |
Dr. Megan Vyhlidal, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1117 W 4th St, Pittsburg, KS 66762 Phone: 620-308-5374 | |
Dr. Zackery Stephen Long, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 E 3rd St, Pittsburg, KS 66762 Phone: 620-231-9300 | |
Ethan Spore, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 619 N Broadway St, Pittsburg, KS 66762 Phone: 620-238-8195 | |
Dr. Kayla Jo Riggs, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2707n Broadway St A, Pittsburg, KS 66762 Phone: 712-830-5357 | |
Riggs Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1117 W 4th St, Pittsburg, KS 66762 Phone: 620-308-5374 | |
Dr. Richard D Ellis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 |