| Brooklyn Ruth Fulk, DPT | |
|
334 E Mount Vernon Blvd, Mount Vernon, MO 65712-2024 | |
| (417) 461-0952 | |
| Not Available |
| Full Name | Brooklyn Ruth Fulk |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 334 E Mount Vernon Blvd, Mount Vernon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790509115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2023034168 (Missouri) | Primary |
| Provider Name | Serc Rehabilitation Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Ruth Fulk, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Brooklyn Ruth Fulk, DPT 334 E Mount Vernon Blvd, Mount Vernon, MO 65712-2024 Ph: (417) 461-0952 |
School Dist Mt Vernon Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 S Landrum St, Mount Vernon, MO 65712 Phone: 417-466-7573 Fax: 417-466-7058 | |
Martha Jean Rosse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Mt Vernon School District, 731 S Landrum St, Mount Vernon, MO 65712 Phone: 417-466-7573 Fax: 417-461-5794 | |
Miss Hazel Mae Hupeda Hofilena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 N Main St, Mount Vernon, MO 65712 Phone: 417-499-1786 | |
Eric Snow, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-7103 | |
Daniel Brockgreitens, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mount Vernon, MO 65712 Phone: 417-466-4000 | |
Rachael Meusborn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Blaze Rd, Mount Vernon, MO 65712 Phone: 417-466-7512 | |
Paula Jean Parker, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 334 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-423-7409 Fax: 417-423-7411 |