| Dustin J Kirk, PT, DPT | |
|
715 Highway 45, Baldwyn, MS 38824-8591 | |
| (662) 365-5610 | |
| (662) 365-5611 |
| Full Name | Dustin J Kirk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 715 Highway 45, Baldwyn, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801462841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT7097 (Mississippi) | Primary |
| Provider Name | Dpti Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin J Kirk, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Dustin J Kirk, PT, DPT 715 Highway 45, Baldwyn, MS 38824-8591 Ph: (662) 365-5610 |
Mrs. Jennifer Rogers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 N Fourth St, Baldwyn, MS 38824 Phone: 662-365-7840 | |
Craig S Bertelsen, PT, CERT MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 Highway 45, Baldwyn, MS 38824 Phone: 662-365-5610 Fax: 662-365-5611 | |
Mr. Carey Bradford Brashier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 Us Highway 45, Baldwyn, MS 38824 Phone: 662-365-5610 Fax: 662-365-5611 | |
Casey Nicole Hayes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 Highway 45, Baldwyn, MS 38824 Phone: 662-365-5610 Fax: 662-365-5611 | |
Lauren Mackenzie Guin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 715 Highway 45, Baldwyn, MS 38824 Phone: 662-365-5610 |