| Kwaid Fears, | |
|
2646 Boiling Springs Rd, Boiling Springs, SC 29316-6002 | |
| (864) 345-6714 | |
| Not Available |
| Full Name | Kwaid Fears |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2646 Boiling Springs Rd, Boiling Springs, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750186763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12722 (South Carolina) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Kwaid Fears, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Kwaid Fears, 2646 Boiling Springs Rd, Boiling Springs, SC 29316-6002 Ph: (864) 345-6714 |
Alexandria Marie Forthaus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd # G, Boiling Springs, SC 29316 Phone: 864-599-0799 | |
Valarie Blanton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 113 Wild Cherry Lane, Boiling Springs, SC 29316 Phone: 864-490-8221 | |
Phong Nguyen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2646 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-345-6714 | |
Brandon Roy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2752 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-210-9658 | |
Jeremaih Terry Stout, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0799 | |
Thrive Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Dewfield Ln, Boiling Springs, SC 29316 Phone: 704-785-5152 |