| Elite Rehab And Sports Medicine Llc | |
|
616 E Shepherd Ave, Kirksville, MO 63501-4711 | |
| (660) 216-8099 | |
| Not Available |
| Full Name | Elite Rehab And Sports Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 616 E Shepherd Ave, Kirksville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710505623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brandon L Mack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134188832 PECOS PAC ID: 8123170016 Enrollment ID: I20090724000179 |
| Provider Name | Ronald Lee Danielson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659676674 PECOS PAC ID: 7012214539 Enrollment ID: I20160329001680 |
| Provider Name | Amity Sparks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669727525 PECOS PAC ID: 9335390475 Enrollment ID: I20221207001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Rehab And Sports Medicine Llc Po Box 225, La Plata, MO 63549-0225 Ph: () - | Elite Rehab And Sports Medicine Llc 616 E Shepherd Ave, Kirksville, MO 63501-4711 Ph: (660) 216-8099 |
Michelle Gronemeyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 S Osteopathy Ave, Kirksville, MO 63501 Phone: 660-665-2887 | |
Benjamin J. Seedorf, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825 | |
Dr. Brandon Lee Mack, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Junction S. Hwy 63 & 6e, Outpatient Physical Therapy, Kirksville, MO 63501 Phone: 660-785-1834 | |
Brittany Eagen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825 | |
Angela K. Reinsch, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825 | |
Mrs. Jennifer L Blanke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 | |
Kaitlin Louise Stump, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1108 E Patterson St Ste 6, Kirksville, MO 63501 Phone: 660-665-5333 |