| Benjamin John Nebelsick, PT | |
|
789 Holton Dr, Le Mars, IA 51031-3757 | |
| (712) 546-1718 | |
| (712) 546-1770 |
| Full Name | Benjamin John Nebelsick |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 789 Holton Dr, Le Mars, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205191673 | NPI | - | NPPES |
| 004987 | Other | IA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 004987 (Iowa) | Primary |
| Provider Name | Avera Queen Of Peace |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Nebelsick, PT Po Box 921, Le Mars, IA 51031-0921 Ph: (712) 546-1718 | Benjamin John Nebelsick, PT 789 Holton Dr, Le Mars, IA 51031-3757 Ph: (712) 546-1718 |
Jacob Kevin Nessa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 172-546-1770 | |
Katrina Ann Grevengoed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 | |
Abby Jo Stainbrook, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 712-546-1770 | |
Le Mars Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 789 Holton Dr, Le Mars, IA 51031 Phone: 712-546-1718 Fax: 712-250-2415 |