| Diane Threlkeld, DPT | |
|
138 Junction Dr, Glen Carbon, IL 62034-4322 | |
| (618) 636-5756 | |
| Not Available |
| Full Name | Diane Threlkeld |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 138 Junction Dr, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070020213 (Illinois) | Primary |
| Provider Name | Fox Rehabilitation Services Il Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
| Provider Name | Axes Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093425944 PECOS PAC ID: 3375840028 Enrollment ID: O20230510000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Threlkeld, DPT 647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032 Ph: (636) 206-4225 | Diane Threlkeld, DPT 138 Junction Dr, Glen Carbon, IL 62034-4322 Ph: (618) 636-5756 |
Divya Merchant, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4955 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4677 | |
Jesse Moore, DPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Huntsville Dr, Glen Carbon, IL 62034 Phone: 317-691-6262 | |
Michelle Vermaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 | |
Fitness Designs Physical Therapy And Sports Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 | |
Ashley Lack, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Junction Dr W Ste 4, Glen Carbon, IL 62034 Phone: 618-288-8020 | |
Mrs. Kelli D Evans, MSRPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 | |
Mrs. Deanne Louise Perry, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 |