Julia Nicole Beausoleil, PT | |
6640 Johnson Dr, Mission, KS 66202-2617 | |
(913) 384-5810 | |
(913) 384-0719 |
Full Name | Julia Nicole Beausoleil |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6640 Johnson Dr, Mission, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023549797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-05539 (Kansas) | Primary |
Provider Name | Minds Matter, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679617955 PECOS PAC ID: 2466641816 Enrollment ID: O20151023002412 |
Mailing Address | Practice Location Address |
---|---|
Julia Nicole Beausoleil, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Julia Nicole Beausoleil, PT 6640 Johnson Dr, Mission, KS 66202-2617 Ph: (913) 384-5810 |
Michael A Sabolovic, M.S.P.T., M.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5799 Broadmoor St, Suite 300, Mission, KS 66202 Phone: 913-384-5600 Fax: 913-384-0719 | |
Mr. Larry J Estes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 W 61st Place, Mission Springs, Mission, KS 66205 Phone: 913-262-8070 Fax: 913-262-8070 | |
Mary Jo Hegstrom, PT, BSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6640 Johnson Dr, Mission, KS 66202 Phone: 913-384-5810 Fax: 913-384-0719 | |
Elizabeth A Daze, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6640 Johnson Dr, Mission, KS 66202 Phone: 913-384-5810 Fax: 913-384-0719 | |
Nancy Kay Dorau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6640 Johnson Dr, Mission, KS 66202 Phone: 913-384-5810 Fax: 913-384-0719 | |
Health Adminisource, L.l.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5799 Broadmoor St, Ste 300, Mission, KS 66202 Phone: 913-384-5600 |