| Kelsey Mullen, PT, DPT | |
|
63 Hospitality Ln Ste 1, Mineral Wells, WV 26150-6704 | |
| (304) 489-8100 | |
| (304) 489-8191 |
| Full Name | Kelsey Mullen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 63 Hospitality Ln Ste 1, Mineral Wells, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124627385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004291 (West Virginia) | Primary |
| Provider Name | Mountain River Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487668794 PECOS PAC ID: 0547259335 Enrollment ID: O20040507000524 |
| Provider Name | Mountain River Physical Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437754157 PECOS PAC ID: 1759795834 Enrollment ID: O20210201002102 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Mullen, PT, DPT 415 36th St Ste 100, Parkersburg, WV 26101-1005 Ph: (304) 917-3660 | Kelsey Mullen, PT, DPT 63 Hospitality Ln Ste 1, Mineral Wells, WV 26150-6704 Ph: (304) 489-8100 |
Stacy Ranae Callow, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 Hospitality Ln, Suite 1, Mineral Wells, WV 26150 Phone: 304-489-8100 Fax: 304-489-8191 | |
Heidi Michelle Hay, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 Hospitality Ln Ste 3, Mineral Wells, WV 26150 Phone: 304-489-8100 Fax: 304-489-8191 | |
Andrew Robert Sells, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 Hospitality Ln, Suite 1, Mineral Wells, WV 26150 Phone: 304-489-8100 Fax: 304-489-8191 | |
Dr. William Michael Lawless, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 Hospitality Ln Ste 3, Mineral Wells, WV 26150 Phone: 304-489-8100 Fax: 304-489-8191 | |
Aaron Ross Coffman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 Hospitality Ln, Suite 1, Mineral Wells, WV 26150 Phone: 304-489-8100 Fax: 304-489-8191 | |
Joshua B Gandee, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Seasons Ln, Mineral Wells, WV 26150 Phone: 304-615-7576 Fax: 304-422-4094 |