| Laura Michelle Kivlen, DPT | |
|
1035 Pulaski Hwy # 107a, Havre De Grace, MD 21078-2603 | |
| (438) 431-0034 | |
| Not Available |
| Full Name | Laura Michelle Kivlen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1035 Pulaski Hwy # 107a, Havre De Grace, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811283195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT021353 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | 24223 (Maryland) | Primary |
| Provider Name | Agape Physical Therapy & Sports Rehabilitation Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578900668 PECOS PAC ID: 3870741390 Enrollment ID: O20131002000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Michelle Kivlen, DPT 1035 Pulaski Hwy # 107a, Havre De Grace, MD 21078-2603 Ph: (438) 431-0034 | Laura Michelle Kivlen, DPT 1035 Pulaski Hwy # 107a, Havre De Grace, MD 21078-2603 Ph: (438) 431-0034 |
Mrs. Kelly Fulp, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 | |
Madison Brooke Tamberino, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 410-939-8530 | |
Mr. Donovan Rochlitz Clifford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2027 Pulaski Hwy, Ste 119, Havre De Grace, MD 21078 Phone: 410-939-0520 | |
Morgan Day, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Blenhiem Farm Ln, Havre De Grace, MD 21078 Phone: 410-939-9300 | |
Mr. Rick Nelson Prothero, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807a S Union Ave, Havre De Grace, MD 21078 Phone: 410-939-2262 Fax: 410-939-7119 | |
Mrs. Cynthia Mathewson Olivacz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 Fax: 410-939-0530 | |
Dr. Audrey Werneke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 251 Lewis Ln Ste 104, Havre De Grace, MD 21078 Phone: 866-370-8206 Fax: 410-939-8534 |