| Komuri Brian Lejukole, | |
|
3518 Laclede Ave, Saint Louis, MO 63103-2011 | |
| (314) 977-2323 | |
| Not Available |
| Full Name | Komuri Brian Lejukole |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Location | 3518 Laclede Ave, Saint Louis, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184513269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225100000X | Physical Therapist | 2025034004 (Missouri) | Primary |
| Provider Name | SSM Health Care Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Komuri Brian Lejukole, 1185 Se Rosewood Dr, Waukee, IA 50263-8326 Ph: Not Available | Komuri Brian Lejukole, 3518 Laclede Ave, Saint Louis, MO 63103-2011 Ph: (314) 977-2323 |
Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990 |
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422 |
Hilde Anne Maagad, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908 |
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631 |
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473 |
Nicholas Louis Hennicke, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10199 Woodfield Ln, Saint Louis, MO 63132 Phone: 877-407-3422 |
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949 |