| Irina Nicole Heitmann, | |
|
1219 S Main St, Palmyra, MO 63461-1943 | |
| (573) 769-6166 | |
| (573) 769-2356 |
| Full Name | Irina Nicole Heitmann |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1219 S Main St, Palmyra, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588409783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2024025363 (Missouri) | Primary |
| Provider Name | K.b. Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1932141702 PECOS PAC ID: 2860444973 Enrollment ID: O20050217000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Irina Nicole Heitmann, Po Box 208, Palmyra, MO 63461-0208 Ph: (573) 769-6166 | Irina Nicole Heitmann, 1219 S Main St, Palmyra, MO 63461-1943 Ph: (573) 769-6166 |
Ms. Lesley Anne Turner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1219 S Main St, # 208, Palmyra, MO 63461 Phone: 573-769-6166 Fax: 573-769-2356 | |
Advance Hannibal Regional Hospital Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1811 S Main St, Palmyra, MO 63461 Phone: 573-773-3488 | |
Kimberly Ann Bunten, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1219 S Main St, Palmyra, MO 63461 Phone: 573-769-6166 Fax: 573-769-2356 | |
Mrs. Jessica Zaza Kohlmeier, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 S Main St, Palmyra, MO 63461 Phone: 573-769-6166 Fax: 573-769-2356 | |
James Ryan King, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1219 S Main St, Palmyra, MO 63461 Phone: 573-769-6166 Fax: 573-769-2356 | |
Rita Arment, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 S Main St, Palmyra, MO 63461 Phone: 573-769-6166 |