| Kylie Bollweg, | |
| 1839 E Independence St Ste R, Springfield, MO 65804-3753 | |
| (316) 260-3311 | |
| Not Available | 
| Full Name | Kylie Bollweg | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 1839 E Independence St Ste R, Springfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891416822 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary | 
| 225100000X | Physical Therapist | 2022028646 (Missouri) | Primary | 
| Provider Name | Physical Therapy By Phoenix Of Springfield Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1831785559 PECOS PAC ID: 9931513645 Enrollment ID: O20210120002253 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kylie Bollweg, 12627 E Central Ave Ste 308, Wichita, KS 67206-2839 Ph: (316) 260-3311 | Kylie Bollweg, 1839 E Independence St Ste R, Springfield, MO 65804-3753 Ph: (316) 260-3311 | 
| Mrs. Amy Alison Sanders, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 N Eastgate Ave, Springfield, MO 65803 Phone: 417-889-9773 | |
| Matt Taylor, PT, DPT, CWS, WCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2017 W Woodland St, Springfield, MO 65807 Phone: 417-889-4800 Fax: 417-889-0980 | |
| Mr. Stanley Lee Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 W Battlefield St, Springfield, MO 65807 Phone: 417-886-6200 Fax: 417-886-6201 | |
| Carla Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-9682 Fax: 417-269-5508 | |
| Mrs. Erin Michelle Kirsch,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 639 W Chestnut Expy, Springfield, MO 65802 Phone: 417-523-7500 Fax: 417-523-7595 | |
| Ronald Lee Sapp I, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-875-3125 Fax: 417-269-5508 | |
| Dr. Tamra Holmes Standage, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 S National Ave Ste A, Springfield, MO 65804 Phone: 417-269-8355 Fax: 417-269-8854 |