| David Collin Prather, | |
|
510 Lincoln Dr, Herrin, IL 62948-6334 | |
| (618) 997-6800 | |
| (618) 997-1187 |
| Full Name | David Collin Prather |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 510 Lincoln Dr, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295511848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070027713 (Illinois) | Primary |
| Provider Name | Southern Orthopedic Associates Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442 |
| Mailing Address | Practice Location Address |
|---|---|
| David Collin Prather, 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 | David Collin Prather, 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 |
Brian Shay Wiggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1009 Naples Dr, Herrin, IL 62948 Phone: 618-942-2171 | |
Joseph H Painter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-924-2171 | |
Ms. Laura Elizabeth Haas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Rachel Stacey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3308 Logan Dr, Herrin, IL 62948 Phone: 618-993-4024 Fax: 618-993-1570 | |
Jared Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 | |
Mrs. Ida Riva Jamandron Caro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4926 | |
Mrs. Ruth Ann Daly, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4926 |