| Jessica Dale, DPT | |
|
144 S Carol Malone Blvd, Grayson, KY 41143-1352 | |
| (606) 474-7649 | |
| (606) 474-0855 |
| Full Name | Jessica Dale |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 144 S Carol Malone Blvd, Grayson, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962993576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 003964 (West Virginia) | Secondary |
| 225100000X | Physical Therapist | 007379 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mobile Therapy Services | 3971547126 | 4 |
| Generations R.c., Inc. | 3577477462 | 12 |
| Provider Name | Mobile Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689865966 PECOS PAC ID: 3971547126 Enrollment ID: O20051017000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Dale, DPT 144 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-7649 | Jessica Dale, DPT 144 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-7649 |
Jade Stumbo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 Fax: 606-474-0855 | |
Whitley Faith Bornhauser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 | |
Stacy Acuff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 361 Windburn Ln, Grayson, KY 41143 Phone: 606-922-2572 Fax: 606-475-9564 | |
Mrs. Crystal Limings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7649 Fax: 606-474-0855 | |
Macy Bassler, PT, DPT, CBS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Rigsbees Rd, Grayson, KY 41143 Phone: 606-315-3003 | |
Callie Mabry, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 N Carol Malone Blvd Ste A, Grayson, KY 41143 Phone: 606-474-0157 Fax: 606-474-0890 | |
Mr. Greg Matthew Mayhorn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Mcdavid Blvd, Grayson, KY 41143 Phone: 606-474-7835 |