| Jackson Smith, DPT | |
|
29121 Northwestern Hwy Ste A, Southfield, MI 48034-5705 | |
| (248) 599-1166 | |
| Not Available |
| Full Name | Jackson Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 29121 Northwestern Hwy Ste A, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700583374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302079 (Michigan) | Primary |
| Provider Name | Krs Of Clawson Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194840223 PECOS PAC ID: 2163527276 Enrollment ID: O20070418000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Smith, DPT 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: () - | Jackson Smith, DPT 29121 Northwestern Hwy Ste A, Southfield, MI 48034-5705 Ph: (248) 599-1166 |
Ashtiaq Khokhar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100 | |
Thomas Chung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190 | |
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119 | |
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360 | |
Lahser Medical Campus Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27207 Lahser Rd Ste 106, Southfield, MI 48034 Phone: 248-948-9448 | |
Ms. Linda Jean Mahome, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22777 W 11 Mile Rd, Southfield, MI 48033 Phone: 248-386-5336 Fax: 248-386-5378 |