| Dr Zachary Keith, PT, DPT | |
|
223 S Jefferson St, Ava, MO 65608 | |
| (417) 429-4693 | |
| (417) 753-7765 |
| Full Name | Dr Zachary Keith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 223 S Jefferson St, Ava, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356018808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2021033637 (Missouri) | Primary |
| Provider Name | Physical Therapy Specialist Clinic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659312619 PECOS PAC ID: 7719947670 Enrollment ID: O20041014000760 |
| Provider Name | Arc Physical Therapy Plus Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851715353 PECOS PAC ID: 6204050453 Enrollment ID: O20140613000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Keith, PT, DPT Po Box 219297, Kansas City, MO 64121-9297 Ph: (417) 429-4693 | Dr Zachary Keith, PT, DPT 223 S Jefferson St, Ava, MO 65608 Ph: (417) 429-4693 |
Mr. Quirino Baguio, R.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1307 Haden Street, Ava, MO 65608 Phone: 417-683-3380 Fax: 417-683-3386 | |
Mylene Baguio, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 Haden Street, Ava, MO 65608 Phone: 417-683-3380 Fax: 417-683-3386 |