| Mr William J Grace, PT | |
|
104 W Market St, Suite B, Osage City, KS 66523-1277 | |
| (785) 528-1123 | |
| (785) 528-4123 |
| Full Name | Mr William J Grace |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 104 W Market St, Osage City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598086266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1103801 (Kansas) | Primary |
| Provider Name | Salt Creek Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235243460 PECOS PAC ID: 0840290995 Enrollment ID: O20070113000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William J Grace, PT 104 W Market St, Suite B, Osage City, KS 66523-1277 Ph: (785) 528-1123 | Mr William J Grace, PT 104 W Market St, Suite B, Osage City, KS 66523-1277 Ph: (785) 528-1123 |
Jordan Dale Morton, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 W Market St Ste B, Osage City, KS 66523 Phone: 785-528-1123 Fax: 785-528-4123 | |
Mrs. Sherri L Coffman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 W Market St, Suite B, Osage City, KS 66523 Phone: 785-528-1123 Fax: 785-528-4123 | |
Ms. Teresa Barker Sturm, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 West Market, Suite B, Osage City, KS 66523 Phone: 785-528-1123 | |
Carter Swindale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 W Market St Ste B, Osage City, KS 66523 Phone: 785-528-1123 Fax: 785-528-4123 |