| Mr Lars Mitchell, MPT OCS CSCS | |
|
409 W Main St, Kingsley, MI 49649-9481 | |
| (231) 263-1001 | |
| (231) 263-1002 |
| Full Name | Mr Lars Mitchell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 409 W Main St, Kingsley, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629035050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010646 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kingsley Physical Therapy Pllc | 2264443530 | 3 |
| Provider Name | Kingsley Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871549857 PECOS PAC ID: 2264443530 Enrollment ID: O20060530000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lars Mitchell, MPT OCS CSCS 409 W Main St, Kingsley, MI 49649-9481 Ph: (231) 263-1001 | Mr Lars Mitchell, MPT OCS CSCS 409 W Main St, Kingsley, MI 49649-9481 Ph: (231) 263-1001 |
Erica Dense, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 Fax: 231-263-1353 | |
Carlene Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Brewster Trl, Kingsley, MI 49649 Phone: 231-342-5643 | |
Mrs. Kari Jo Speckman, MS PT CMLDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 409 W Main St, Kingsley, MI 49649 Phone: 231-263-1001 Fax: 231-263-1002 | |
Emily Ciabattoni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 | |
Mrs. Shannon Christine Nemeth, M.S., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-263-1350 Fax: 231-263-1353 | |
Cameron Gregory Sipple, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Beacon St, Kingsley, MI 49649 Phone: 231-633-1574 |