Kelly Eckelkamp, | |
107 Progress Pkwy, Sullivan, MO 63080-2359 | |
(573) 245-0350 | |
(573) 245-0350 |
Full Name | Kelly Eckelkamp |
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Gender | Female |
Speciality | Physical Therapist |
Location | 107 Progress Pkwy, Sullivan, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467265637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2025003051 (Missouri) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
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Kelly Eckelkamp, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Kelly Eckelkamp, 107 Progress Pkwy, Sullivan, MO 63080-2359 Ph: (573) 245-0350 |
Mrs. Sharon A Titter, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Progress Dr, Sullivan, MO 63080 Phone: 573-860-5901 Fax: 573-860-5903 | |
Rob Dirnbeck, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 Dunsford Dr, Sullivan, MO 63080 Phone: 573-468-3128 Fax: 573-860-4646 | |
Cassandra Lynn Hoffman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Grande Ctr, Sullivan, MO 63080 Phone: 573-468-4900 Fax: 573-468-4901 | |
Mariah L Wright, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Progress Pkwy, Sullivan, MO 63080 Phone: 573-245-0350 Fax: 573-245-0350 | |
Mrs. Lindsay Nicole Arnette, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 Phone: 573-468-7733 | |
Jamie Danae Mercer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Progress Pkwy, Sullivan, MO 63080 Phone: 573-885-4500 |