| Innovation Therapy And Wellness, Llc | |
|
401 E 1st St Ste B, Vidalia, GA 30474-4624 | |
| (912) 403-3300 | |
| Not Available |
| Full Name | Innovation Therapy And Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 401 E 1st St Ste B, Vidalia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750921284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Therapy And Wellness, Llc 118 Azalea Rd Ste 11, Baxley, GA 31513-9197 Ph: () - | Innovation Therapy And Wellness, Llc 401 E 1st St Ste B, Vidalia, GA 30474-4624 Ph: (912) 403-3300 |
James Ethredge, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-403-3300 | |
Kimberly A Krupack, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Adams St Unit B, Vidalia, GA 30474 Phone: 478-254-0636 | |
Ms. Judith Dequera Hardman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-403-3300 Fax: 912-209-0166 | |
Ms. Rhonda Beth Lowe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Ne Main St, Vidalia, GA 30474 Phone: 912-375-3797 | |
Mrs. Cindy Blissett Beckham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474 Phone: 912-277-2044 Fax: 912-277-2099 | |
Mr. Shannon Brantley, P.T, A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474 Phone: 912-277-2044 | |
Dr. Nancy W Stanley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 Coogan Williams Rd, Vidalia, GA 30474 Phone: 912-537-0818 |