Kelly Eckelkamp, | |
107 Progress Pkwy, Sullivan, MO 63080-2359 | |
(573) 245-0350 | |
(573) 245-0350 |
Full Name | Kelly Eckelkamp |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 107 Progress Pkwy, Sullivan, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467265637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
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Kelly Eckelkamp, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Kelly Eckelkamp, 107 Progress Pkwy, Sullivan, MO 63080-2359 Ph: (573) 245-0350 |
Gena K Rasmussen, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1132 Elmont Rd, Sullivan Consolidated District No 2, Sullivan, MO 63080 Phone: 573-468-5174 Fax: 573-468-5196 | |
Kerri L Mills, MS OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sullivan Consolidated District No 2, 1132 Elmont Rd, Sullivan, MO 63080 Phone: 573-468-5174 Fax: 573-468-5196 | |
Sara Skidmore, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 Phoenix Drive, Sullivan, MO 63080 Phone: 636-239-9979 Fax: 636-239-5442 | |
Anna Carr, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 W Springfield Rd, Sullivan, MO 63080 Phone: 573-468-4900 Fax: 573-468-4901 | |
Mary Hulsey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 W Springfield Rd, Sullivan, MO 63080 Phone: 573-468-4900 Fax: 573-468-4901 | |
Karen D Smikahl-biggs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 W Washington St, Sullivan, MO 63080 Phone: 573-468-5171 Fax: 573-468-5196 |