| Ken Simmons, | |
|
1100 Ranch Rd N, Altus, OK 73521-1031 | |
| (580) 471-1519 | |
| Not Available |
| Full Name | Ken Simmons |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1100 Ranch Rd N, Altus, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508492034 | NPI | - | NPPES |
| Provider Name | Cloverleaf Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447870753 PECOS PAC ID: 4587085188 Enrollment ID: O20210528002065 |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Simmons, 9501 Anchusa Trl, Austin, TX 78736-2335 Ph: (512) 461-1902 | Ken Simmons, 1100 Ranch Rd N, Altus, OK 73521-1031 Ph: (580) 471-1519 |
Cynthea Mika My Hosoda Lam, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5820 Fax: 580-379-5829 |
Jamie Koeritz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5820 |
Mrs. Susan Elizabeth Spirlock, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5820 |
Mr. James Alonzo Patterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 E Broadway St, Altus, OK 73521 Phone: 580-477-3305 Fax: 580-477-2423 |
Ms. Kirstie Lea Shive, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Broadway St, Altus, OK 73521 Phone: 580-477-3305 Fax: 580-477-2423 |
Allison Howard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 803-795-8205 Fax: 580-379-5829 |
Veronica Hershey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5820 |