| Mackenzie Thimesch, DPT | |
|
608 N Mulberry Rd, Derby, KS 67037-3532 | |
| (316) 202-0996 | |
| Not Available |
| Full Name | Mackenzie Thimesch |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 608 N Mulberry Rd, Derby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710727656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Advanced Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780616789 PECOS PAC ID: 3678524709 Enrollment ID: O20060222000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Thimesch, DPT 2615 S Brookmeadow Dr, Garden Plain, KS 67050-8909 Ph: () - | Mackenzie Thimesch, DPT 608 N Mulberry Rd, Derby, KS 67037-3532 Ph: (316) 202-0996 |
Alexandra Krisik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 W Greenway St, Derby, KS 67037 Phone: 316-788-6734 Fax: 316-788-4529 | |
Charles Shaya Weinstein, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 N Woodlawn Blvd Ste D, Derby, KS 67037 Phone: 316-202-0970 Fax: 316-202-0971 | |
Ms. Kathy Renner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 N Woodlawn Blvd Ste E, Derby, KS 67037 Phone: 316-788-1566 | |
Haley Gleason, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 W Greenway St, Derby, KS 67037 Phone: 316-788-6734 | |
Mrs. Anne Clark, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 W Greenway St, Derby, KS 67037 Phone: 316-788-6734 | |
Steven James Wolff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1410 N Woodlawn Blvd Ste D, Derby, KS 67037 Phone: 316-202-0970 Fax: 316-788-4529 | |
Mrs. Lynn S Price, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Madison Ave, Derby, KS 67037 Phone: 316-788-6734 Fax: 316-788-4529 |