| Kristin Mclellan, DPT | |
|
1467 E 12 Mile Rd, Madison Heights, MI 48071-2653 | |
| (248) 658-2110 | |
| Not Available |
| Full Name | Kristin Mclellan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1467 E 12 Mile Rd, Madison Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881166148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501018997 (Michigan) | Primary |
| Provider Name | Michigan Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804 |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Mclellan, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Kristin Mclellan, DPT 1467 E 12 Mile Rd, Madison Heights, MI 48071-2653 Ph: (248) 658-2110 |
Muhammad Alam, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E 14 Mile Rd, Madison Heights, MI 48071 Phone: 248-743-9500 | |
Laurie Davenport, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7312 | |
Ashish Salvi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28157 Dequindre Rd, Suite A, Madison Heights, MI 48071 Phone: 248-434-8478 | |
Mr. Tahir Bari, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E 14 Mile Rd, Madison Heights, MI 48071 Phone: 248-743-9255 | |
Jack Gilbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31125 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-582-8668 | |
Miracle Rehab Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28373 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-244-7648 | |
Jodi Lynn Weiss, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E 14 Mile Rd, Madison Heights, MI 48071 Phone: 248-743-9500 |