| Jade Rainbolt, | |
|
7873 Highway N, Dardenne Prairie, MO 63368-6704 | |
| (636) 229-1777 | |
| Not Available |
| Full Name | Jade Rainbolt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7873 Highway N, Dardenne Prairie, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225640402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2020018919 (Missouri) | Primary |
| Provider Name | Back 2 Motion Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1942665260 PECOS PAC ID: 4587960240 Enrollment ID: O20160308000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Rainbolt, 1203 Fountain Grass Dr, Lake St Louis, MO 63367-4126 Ph: (217) 801-1891 | Jade Rainbolt, 7873 Highway N, Dardenne Prairie, MO 63368-6704 Ph: (636) 229-1777 |
Cynthia Marcellino-riley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Coalter Ridge Ct, Dardenne Prairie, MO 63368 Phone: 314-753-4822 | |
Reece M Hadden, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2025 Hanley Rd, Dardenne Prairie, MO 63368 Phone: 636-561-5757 | |
Kieran Carroll, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 S Outer 364 Ste B, Dardenne Prairie, MO 63368 Phone: 636-561-2060 Fax: 636-561-4380 | |
Kristyn Linneman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 S Outer 364, Dardenne Prairie, MO 63368 Phone: 314-839-0002 | |
Cathryn Rose Bettis, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 S Outer 364, Dardenne Prairie, MO 63368 Phone: 636-561-2060 | |
Brittany Hogan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 Phone: 636-561-2060 |