| Kevin Fetsch, | |
|
3301 Berrywood Dr Ste 204, Columbia, MO 65201-6517 | |
| (636) 288-7422 | |
| Not Available |
| Full Name | Kevin Fetsch |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3301 Berrywood Dr Ste 204, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265056949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Central Missouri Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
| Provider Name | Exercise Therapy Consultants Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962414250 PECOS PAC ID: 1557269255 Enrollment ID: O20170929003392 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Fetsch, 1414 Lowe St, Columbia, MO 65203-2166 Ph: (636) 288-7422 | Kevin Fetsch, 3301 Berrywood Dr Ste 204, Columbia, MO 65201-6517 Ph: (636) 288-7422 |
Kathy Elaine Maxey, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Club Village Dr, Suite 103, Columbia, MO 65203 Phone: 573-256-2777 Fax: 573-256-2764 | |
Carly Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Ste 102, Columbia, MO 65201 Phone: 573-443-0225 | |
Rachel Muenks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 N Cedar Lake Dr W, Columbia, MO 65203 Phone: 314-669-5243 | |
Kelly Maunu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 W Worley St, Columbia, MO 65203 Phone: 573-214-3400 | |
Ms. Miranda L Bourgeois, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201 Phone: 573-449-6082 | |
Mrs. Beth Kinser Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201 Phone: 573-874-0001 Fax: 573-449-3278 | |
Noah Brayden Cunningham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203 Phone: 573-442-5268 |