| Seth B Coulter, PT | |
|
115 Skyline Dr, Suite A, Russellville, AR 72802-3310 | |
| (479) 967-5155 | |
| (479) 967-5141 |
| Full Name | Seth B Coulter |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 115 Skyline Dr, Russellville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003895343 | NPI | - | NPPES |
| 117393721 | Medicaid | AR | |
| 0489820001 | Other | AR | DME MAC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 624 (Arkansas) | Primary |
| Provider Name | Coulter Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1649261942 PECOS PAC ID: 2365352127 Enrollment ID: O20040228000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Seth B Coulter, PT 115 Sklyline Drive Ste A, Russellville, AR 72802-3310 Ph: (479) 967-5155 | Seth B Coulter, PT 115 Skyline Dr, Suite A, Russellville, AR 72802-3310 Ph: (479) 967-5155 |
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178 | |
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069 | |
Mr. Jerry Wayne Manning, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801 Phone: 479-967-9657 Fax: 479-967-9658 | |
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126 | |
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 |