| Krista L Evans, DPT | |
|
104 Hands Cove Ln, Shalimar, FL 32579-1051 | |
| (210) 471-8375 | |
| Not Available |
| Full Name | Krista L Evans |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 104 Hands Cove Ln, Shalimar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235761644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT32214 (Florida) | Primary |
| Provider Name | Quality Home Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881238277 PECOS PAC ID: 9234565565 Enrollment ID: O20200205002023 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista L Evans, DPT 104 Hands Cove Ln, Shalimar, FL 32579-1051 Ph: (210) 471-8375 | Krista L Evans, DPT 104 Hands Cove Ln, Shalimar, FL 32579-1051 Ph: (210) 471-8375 |
Amy R Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hawthorn House Dr, Shalimar, FL 32579 Phone: 850-609-2550 | |
Michael Travers, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 9th Ave Ste G, Shalimar, FL 32579 Phone: 205-919-9349 | |
Marisa Mccormack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4 9th Ave Bldg C, Shalimar, FL 32579 Phone: 850-613-4099 | |
Pro Vita Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 9th Ave Bldg C, Shalimar, FL 32579 Phone: 850-331-3017 Fax: 855-978-1838 |