| Justin Kyle Squeo, DPT | |
|
201 N Church St Ste 110, Mooresville, NC 28115-2602 | |
| (704) 909-7808 | |
| Not Available |
| Full Name | Justin Kyle Squeo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 201 N Church St Ste 110, Mooresville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740013945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P24013 (North Carolina) | Primary |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Kyle Squeo, DPT Po Box 412313, Boston, MA 02241-2313 Ph: () - | Justin Kyle Squeo, DPT 201 N Church St Ste 110, Mooresville, NC 28115-2602 Ph: (704) 909-7808 |
Justin M Pretzel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Mooresville Commons Way Ste 5e, Mooresville, NC 28117 Phone: 980-444-0906 Fax: 980-444-6812 | |
Tawny J Chamberlain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Glenwood Dr, Mooresville, NC 28115 Phone: 704-664-7494 | |
Constance A Andrews, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Carriage Club Dr, Mooresville, NC 28117 Phone: 704-658-1200 Fax: 704-662-8509 | |
Laina Touchberry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
David Scott Pfeufer, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 363 Williamson Rd, Suite 101, Mooresville, NC 28117 Phone: 704-660-7070 Fax: 704-664-5575 | |
Antonia Shoemaker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 N Church St Ste 110, Mooresville, NC 28115 Phone: 704-909-7808 | |
Maureen Susan Marquie, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 287 Williamson Rd Ste A, Mooresville, NC 28117 Phone: 704-360-5511 |