| Alexis Marie Manzanares, DPT, PT | |
|
901 W Main St, Lowell, MI 49331-1581 | |
| (616) 897-7055 | |
| (616) 897-7366 |
| Full Name | Alexis Marie Manzanares |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 901 W Main St, Lowell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326874793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303511 (Michigan) | Primary |
| Provider Name | Center For Physical Rehabilitation And Therapy Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902288863 PECOS PAC ID: 0941513303 Enrollment ID: O20160721000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Marie Manzanares, DPT, PT 5060 Cascade Rd Se Ste A, Grand Rapids, MI 49546-3808 Ph: (616) 954-0950 | Alexis Marie Manzanares, DPT, PT 901 W Main St, Lowell, MI 49331-1581 Ph: (616) 897-7055 |
Ashley Nicole Vandenberg, P.T.,D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Suite 1, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 | |
Mrs. Diana M Painter, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 | |
Mr. Casimir A Kilyanek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 | |
Deborah Miller Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Center St, Lowell, MI 49331 Phone: 616-897-8473 | |
Melissa G Stebbins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1335 W. Main St, Suite B, Lowell, MI 49331 Phone: 616-888-3184 Fax: 978-263-0014 | |
Jessica L Mcleod, PT, DPT, AT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 |