| Mrs Deanne Louise Perry, MSPT | |
|
16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 | |
| (618) 656-1122 | |
| (618) 656-1171 |
| Full Name | Mrs Deanne Louise Perry |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 16 Ginger Creek Pkwy, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275634446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070008182 (Illinois) | Primary |
| Provider Name | Fitness Designs Physical Therapy And Sports Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144504754 PECOS PAC ID: 6901072719 Enrollment ID: O20120104000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deanne Louise Perry, MSPT 16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 Ph: (618) 656-1122 | Mrs Deanne Louise Perry, MSPT 16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 Ph: (618) 656-1122 |
Divya Merchant, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4955 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4677 | |
Jesse Moore, DPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Huntsville Dr, Glen Carbon, IL 62034 Phone: 317-691-6262 | |
Michelle Vermaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 | |
Fitness Designs Physical Therapy And Sports Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 | |
Ashley Lack, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Junction Dr W Ste 4, Glen Carbon, IL 62034 Phone: 618-288-8020 | |
Mrs. Kelli D Evans, MSRPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 |