| Michelle R Koerner, DPT | |
|
1114 E Commercial Ave, Lowell, IN 46356-2359 | |
| (219) 690-1048 | |
| (219) 690-1047 |
| Full Name | Michelle R Koerner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1114 E Commercial Ave, Lowell, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417445321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05013053A (Indiana) | Primary |
| Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle R Koerner, DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Michelle R Koerner, DPT 1114 E Commercial Ave, Lowell, IN 46356-2359 Ph: (219) 690-1048 |
Justin Bales, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1114 E Commercial Ave, Lowell, IN 46356 Phone: 219-690-1048 | |
Mrs. Rachel Elizabeth Van Vlymen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Deanna Dr, Suite C, Lowell, IN 46356 Phone: 219-696-0988 Fax: 219-696-0989 | |
Alexis Geary, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1114 E Commercial Ave, Lowell, IN 46356 Phone: 219-690-1048 | |
Ms. Barbara Thompson Rohe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Deanna Dr Ste C, Lowell, IN 46356 Phone: 219-696-0988 Fax: 219-696-0989 | |
Kate Blanchard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19136 King Pl, Lowell, IN 46356 Phone: 219-680-9302 | |
Barbara Marie Vanderwoude, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 181 Deanna Dr Ste C, Lowell, IN 46356 Phone: 219-696-0988 Fax: 219-696-0989 | |
Haley J Ritchie, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1114 E Commercial Ave, Lowell, IN 46356 Phone: 219-690-1048 Fax: 219-690-1047 |