| Kinetic Gray Physical Therapy Llc | |
|
205 Portland Rd Ste 4, Gray, ME 04039-8906 | |
| (207) 657-5600 | |
| (855) 464-0106 |
| Full Name | Kinetic Gray Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 205 Portland Rd Ste 4, Gray, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053143420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Leo R Credit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477509115 PECOS PAC ID: 6406812643 Enrollment ID: I20041208001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Kinetic Gray Physical Therapy Llc Po Box 1047, Gray, ME 04039-1047 Ph: (207) 657-5600 | Kinetic Gray Physical Therapy Llc 205 Portland Rd Ste 4, Gray, ME 04039-8906 Ph: (207) 657-5600 |
Matthew Dubois, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Lamkin Ln, Gray, ME 04039 Phone: 207-650-3981 | |
Leo R Credit Jr., PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6 Turnpike Acres Rd, Gray, ME 04039 Phone: 207-657-5600 Fax: 207-657-5620 | |
Gray Physical Therapy Center, Pa Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Turnpike Acres Rd, Ste 2, Gray, ME 04039 Phone: 207-657-5600 Fax: 207-657-5620 | |
Mary L Feltovic, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Turnpike Acres Rd, Ste 2, Gray, ME 04039 Phone: 207-657-5600 Fax: 207-657-5620 |