| Excel Physical Therapy & Sports Medicine Clinic | |
|
1420 W Ashley Rd, Boonville, MO 65233-2112 | |
| (660) 882-6115 | |
| (660) 882-6120 |
| Full Name | Excel Physical Therapy & Sports Medicine Clinic |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1420 W Ashley Rd, Boonville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609930593 | NPI | - | NPPES |
| 122566 | Other | BLUE CROSS BLUE SHEILD | |
| DA1611 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 108639 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Physical Therapy & Sports Medicine Clinic 1420 W Ashley Rd, Boonville, MO 65233-2112 Ph: (660) 882-6115 | Excel Physical Therapy & Sports Medicine Clinic 1420 W Ashley Rd, Boonville, MO 65233-2112 Ph: (660) 882-6115 |
Miss Kelley Nicole Tate, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 | |
Reorganized School District No 1 Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 736 Main St, Boonville, MO 65233 Phone: 660-882-7474 Fax: 660-882-5721 | |
Elyssa Ann Gibbons, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1731 Daniel Boone Ln, Boonville, MO 65233 Phone: 660-537-3908 | |
Timothy R Tracy, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 | |
Mrs. Jennifer Jo Hackman, P.T. ,A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 |