| Kelly Hidalgo, PT | |
|
122 Strother Pl, St Simons Island, GA 31522-1876 | |
| (678) 463-6621 | |
| (912) 466-7233 |
| Full Name | Kelly Hidalgo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 122 Strother Pl, St Simons Island, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710046503 | NPI | - | NPPES |
| 000937087C | Medicaid | GA | |
| 000937087A | Medicaid | GA | |
| 7123 | Other | GA | PHYSICAL THERPAY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7123 (Georgia) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 7123 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Hidalgo, PT 122 Strother Pl, St Simons Island, GA 31522-1876 Ph: (678) 463-6621 | Kelly Hidalgo, PT 122 Strother Pl, St Simons Island, GA 31522-1876 Ph: (678) 463-6621 |
Mr. Michael Timothy Miller, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601a Demere Rd, St Simons Island, GA 31522 Phone: 912-634-9945 Fax: 912-638-1584 | |
Mrs. Katie M Seymour, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2601a Demere Rd, St Simons Island, GA 31522 Phone: 912-634-9945 Fax: 912-638-1584 | |
Physical Therapy Plus, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Midway Sq, St Simons Island, GA 31522 Phone: 912-638-5041 Fax: 912-638-5195 | |
Edward Bolt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Retreat Vlg Ste 212, St Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Amauri Smith, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, St Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Miss Laura L. Glazier, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601a Demere Rd, St Simons Island, GA 31522 Phone: 912-634-9945 | |
Ms. Samantha Noelle Pitts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2601a Demere Rd, St Simons Island, GA 31522 Phone: 912-634-9945 Fax: 912-638-1584 |