| Charles Scott Keely, | |
|
750 E 40th St, Holland, MI 49423-5342 | |
| (616) 834-1703 | |
| Not Available |
| Full Name | Charles Scott Keely |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 750 E 40th St, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841768587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501005238 (Michigan) | Primary |
| Provider Name | Home Connection Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265005151 PECOS PAC ID: 7113320144 Enrollment ID: O20210728000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Scott Keely, 750 E 40th St, Holland, MI 49423-5342 Ph: (616) 834-1703 | Charles Scott Keely, 750 E 40th St, Holland, MI 49423-5342 Ph: (616) 834-1703 |
Nicholas Russell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Nephew Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 91 Douglas Ave Ste 140, Holland, MI 49424 Phone: 616-796-9391 Fax: 888-714-4474 | |
Mr. Nathan Edward Dykema, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 730 Chicago Dr, Holland, MI 49423 Phone: 616-796-6781 Fax: 616-796-6782 | |
Michelle Van Oss, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Washington Ave Ste 200, Holland, MI 49423 Phone: 616-392-9430 Fax: 616-392-5257 | |
Mrs. Alison Pothoven, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 E 40th St, Holland, MI 49423 Phone: 616-566-5683 | |
Aaron Huizenga, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 N Wellness Dr, Holland, MI 49424 Phone: 616-294-4066 | |
Dr. Micah Scott Vanderhill, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 W 33rd St, Holland, MI 49423 Phone: 616-403-6247 |