| Katelyn Stolt, DPT | |
|
308 S Main, Cedar Springs, MI 49319-8925 | |
| (616) 696-6555 | |
| (616) 965-2475 |
| Full Name | Katelyn Stolt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 308 S Main, Cedar Springs, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083382725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501020205 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Stolt, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Katelyn Stolt, DPT 308 S Main, Cedar Springs, MI 49319-8925 Ph: (616) 696-6555 |
Dr. David Sefton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 308 S Main, Cedar Springs, MI 49319 Phone: 616-696-6555 Fax: 616-965-2475 | |
Geoffrey Willson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6330 | |
Miss Rossicela Marie Garcia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 S Main, Cedar Springs, MI 49319 Phone: 616-696-6555 | |
Christopher M Posthumus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 S Main, Cedar Springs, MI 49319 Phone: 616-696-6555 Fax: 616-965-2475 | |
Frances Grace Flores, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14111 White Creek Ave Ne Ste J, Cedar Springs, MI 49319 Phone: 616-256-8664 | |
Joel Ford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 S Main, Cedar Springs, MI 49319 Phone: 616-696-6555 |