| Bryan Declerk, PT, DPT | |
|
31 Choctaw Center, Cherokee Village, AR 72529-2702 | |
| (870) 856-4325 | |
| (870) 856-4327 |
| Full Name | Bryan Declerk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 31 Choctaw Center, Cherokee Village, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558806299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT3540 (Arkansas) | Primary |
| Provider Name | Therapy Works, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366870057 PECOS PAC ID: 0840422895 Enrollment ID: O20140407000986 |
| Provider Name | Elite Therapy And Wellness |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679071302 PECOS PAC ID: 5294097473 Enrollment ID: O20180328001403 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Declerk, PT, DPT 31 Choctaw Center, Cherokee Village, AR 72529-2702 Ph: (870) 856-4325 | Bryan Declerk, PT, DPT 31 Choctaw Center, Cherokee Village, AR 72529-2702 Ph: (870) 856-4325 |
Mrs. Keely A Rogers, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31 Choctaw Center, Cherokee Village, AR 72529 Phone: 870-856-4325 Fax: 870-856-4327 | |
Therapy Works, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 31 Choctaw Center, Cherokee Village, AR 72529 Phone: 870-856-4325 Fax: 870-856-4327 | |
Mia Mckinney, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31 Choctaw Trce, Cherokee Village, AR 72529 Phone: 870-856-4325 |