| Braeden Micah Cooper, PT, DPT | |
|
10100 E Shannon Woods Cir Ste 2, Wichita, KS 67226-4105 | |
| (316) 681-0824 | |
| Not Available |
| Full Name | Braeden Micah Cooper |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10100 E Shannon Woods Cir Ste 2, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659905107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-07427 (Kansas) | Primary |
| Provider Name | Ascension Via Christi Rehabilitation Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477712305 PECOS PAC ID: 2062433956 Enrollment ID: O20080805000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Braeden Micah Cooper, PT, DPT 10100 E Shannon Woods Cir Ste 2, Wichita, KS 67226-4105 Ph: (316) 681-0824 | Braeden Micah Cooper, PT, DPT 10100 E Shannon Woods Cir Ste 2, Wichita, KS 67226-4105 Ph: (316) 681-0824 |
Alice Chiedzo Hakata, PT. MED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 N. Governeour, Larksfield Place, Wichita, KS 67226 Phone: 316-636-1111 Fax: 316-858-3971 | |
Caroline Geisler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2757 S Seneca St Ste B, Wichita, KS 67217 Phone: 316-260-3311 Fax: 316-260-6696 | |
Samuel Page, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
Jill D Austin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11120 E 26th St N, Ste 1300, Wichita, KS 67226 Phone: 316-858-1177 Fax: 316-858-1178 | |
Caitlyn Garrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3223 N Oliver St, Wichita, KS 67220 Phone: 316-267-5437 | |
Mr. Jay Franz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8620 E 34th St N, Wichita, KS 67226 Phone: 316-630-0388 Fax: 316-630-0390 | |
Susan O Scholl, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-634-3040 |