| Kylle Colquhoun, DPT | |
|
7065 Airways Blvd Ste 110, Southaven, MS 38671-5874 | |
| (662) 349-8997 | |
| Not Available |
| Full Name | Kylle Colquhoun |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7065 Airways Blvd Ste 110, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881241099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12205 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | (Mississippi) | Primary |
| Provider Name | Msk Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376541409 PECOS PAC ID: 4688574262 Enrollment ID: O20040110000141 |
| Provider Name | Leader Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528830064 PECOS PAC ID: 2163487737 Enrollment ID: O20161130001678 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylle Colquhoun, DPT 7065 Airways Blvd Ste 110, Southaven, MS 38671-5874 Ph: () - | Kylle Colquhoun, DPT 7065 Airways Blvd Ste 110, Southaven, MS 38671-5874 Ph: (662) 349-8997 |
Robert Heath Wylie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Parker P Haberstroh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Lacey Moody, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 | |
Zachary Kyle Tate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman Rd E Ste 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 |