Kiley Eversole, | |
5659 Stadium Dr, Kalamazoo, MI 49009-1932 | |
(269) 372-0436 | |
Not Available |
Full Name | Kiley Eversole |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5659 Stadium Dr, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265960090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTP-PT-LIC-12931 (Montana) | Secondary |
225100000X | Physical Therapist | 5501019389 (Michigan) | Primary |
Provider Name | Functional Kids Therapy Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578951380 PECOS PAC ID: 6800116633 Enrollment ID: O20150519002144 |
Mailing Address | Practice Location Address |
---|---|
Kiley Eversole, 709 2nd St, Plainwell, MI 49080-9301 Ph: (269) 615-0317 | Kiley Eversole, 5659 Stadium Dr, Kalamazoo, MI 49009-1932 Ph: (269) 372-0436 |
Amanda Baumann, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3025 Gull Rd, Kalamazoo, MI 49048 Phone: 269-552-5530 | |
Jennifer Anne Vemich, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-6390 | |
Regina B Mc Pherson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Turwill Ln, Kalamazoo, MI 49006 Phone: 269-343-8170 Fax: 269-382-8490 | |
Nathan Keniston, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5886 Venture Park Dr, Kalamazoo, MI 49009 Phone: 269-375-4737 | |
Auro Physical Therapy, Plc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Owen Dr, Kalamazoo, MI 49009 Phone: 269-903-2273 Fax: 269-903-2329 | |
Christine Schuppel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St Ste 151, Kalamazoo, MI 49007 Phone: 269-341-6390 | |
Juli Dimock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-6390 |