| Matt Wheat, | |
|
1455 W Fair Ave, Marquette, MI 49855-2654 | |
| (906) 226-0574 | |
| Not Available |
| Full Name | Matt Wheat |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1455 W Fair Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104522481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302465 (Michigan) | Primary |
| Provider Name | Marquette Rehabilitation & Sports Medicine Center |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376771287 PECOS PAC ID: 0941351761 Enrollment ID: O20130112000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Wheat, 1455 W Fair Ave, Marquette, MI 49855-2654 Ph: (906) 226-0574 | Matt Wheat, 1455 W Fair Ave, Marquette, MI 49855-2654 Ph: (906) 226-0574 |
Dawn Archambault-lackey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3135 Us Highway 41 W, Marquette, MI 49855 Phone: 906-225-5900 Fax: 906-225-5939 | |
Paiton Relyin Plutchak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 841 W Washington St, Marquette, MI 49855 Phone: 906-228-2595 | |
Mr. Mark Campbell Miles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1007 Harbor Hills Dr, Suite A, Marquette, MI 49855 Phone: 906-225-5585 Fax: 906-225-5990 | |
Michael Sanders, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 County Road Hq, Marquette, MI 49855 Phone: 906-225-5900 | |
Daniel Watkins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 County Road Hq, Marquette, MI 49855 Phone: 906-225-5044 | |
Sarah Schmid, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 County Road Hq, Marquette, MI 49855 Phone: 906-225-5900 |