| Mr Joffree J Basilisco, PT | |
|
1023 W Main St, Vevay, IN 47043-9192 | |
| (812) 427-2803 | |
| Not Available |
| Full Name | Mr Joffree J Basilisco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1023 W Main St, Vevay, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730386640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 003680 (Kentucky) | Secondary |
| 225100000X | Physical Therapist | 05007999A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joffree J Basilisco, PT 10 S 9th St, Ste 4, Noblesville, IN 46060-2631 Ph: (765) 524-3946 | Mr Joffree J Basilisco, PT 1023 W Main St, Vevay, IN 47043-9192 Ph: (812) 427-2803 |
Steven E Konkle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1190 W Main St, Vevay, IN 47043 Phone: 812-427-2693 Fax: 812-427-2936 | |
Mrs. Tammy L. Gray, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Main St Ste 1, Vevay, IN 47043 Phone: 812-427-0293 Fax: 812-427-0188 | |
Keri A Kuppler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1190 W Main St, Vevay, IN 47043 Phone: 812-427-2693 |