| Dr Blake Bruce Patrick Smith, DPT | |
|
407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242 | |
| (660) 441-3683 | |
| Not Available |
| Full Name | Dr Blake Bruce Patrick Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 407 E Russell Ave Ste 6, Warrensburg, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487381828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2022030942 (Missouri) | Primary |
| Provider Name | Central Physical Rehabilitation And Sports Medicine, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851425912 PECOS PAC ID: 4486639093 Enrollment ID: O20130729000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Bruce Patrick Smith, DPT 407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242 Ph: (660) 441-3683 | Dr Blake Bruce Patrick Smith, DPT 407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242 Ph: (660) 441-3683 |
Christopher Scott Lichte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Russell Ave, Building A Suite 6, Warrensburg, MO 64093 Phone: 660-429-4700 Fax: 660-429-0500 | |
Jennifer L Dirnberger, PT, CSCI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Amanda Jean Wakeman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Kennedi Mcvicker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 609 E Young Ave Unit B1-2, Warrensburg, MO 64093 Phone: 660-747-2370 | |
Jacob Kettner, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 | |
Robert James Massman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Logan Marie Kroenke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 |