| Jaimie Michelle Ivey, PT, DPT | |
|
105 Fm 2342 Ste A, Kingsland, TX 78639-6038 | |
| (325) 388-8246 | |
| Not Available |
| Full Name | Jaimie Michelle Ivey |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 105 Fm 2342 Ste A, Kingsland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568923282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1314982 (Texas) | Primary |
| Provider Name | Scott & White Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaimie Michelle Ivey, PT, DPT Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Jaimie Michelle Ivey, PT, DPT 105 Fm 2342 Ste A, Kingsland, TX 78639-6038 Ph: (325) 388-8246 |
Razim Kapic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Fm 2342 Ste A, Kingsland, TX 78639 Phone: 325-388-8246 | |
Holly Beats, Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Fm 2342 Ste A, Kingsland, TX 78639 Phone: 325-388-8246 | |
Priyanka Shrikant Mhalagi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Fm 2342, Kingsland, TX 78639 Phone: 909-645-2281 | |
Neal Goodwin Landry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Fm 2342, Kingsland, TX 78639 Phone: 325-388-9400 Fax: 325-388-9422 | |
Shibani Ravindra Fogueri, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Fm 2342 Ste A, Kingsland, TX 78639 Phone: 325-388-8246 | |
Dr. Kirstyn Hailey Grote, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Fm 2342, Kingsland, TX 78639 Phone: 325-388-8246 |