| Mrs Ivey Melissa Hardison, DPT | |
|
621 W 21st St, Andover, KS 67002-8498 | |
| (316) 733-1349 | |
| (316) 733-0919 |
| Full Name | Mrs Ivey Melissa Hardison |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 621 W 21st St, Andover, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770967341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1105117 (Kansas) | Primary |
| Provider Name | Fox Rehab Agency Ms Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ivey Melissa Hardison, DPT 621 W 21st St, Andover, KS 67002-8498 Ph: (316) 733-1349 | Mrs Ivey Melissa Hardison, DPT 621 W 21st St, Andover, KS 67002-8498 Ph: (316) 733-1349 |
Dr. Stephanie Danielle Blake, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 | |
Xander Swayne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 N Andover Rd, Andover, KS 67002 Phone: 316-202-0195 Fax: 316-202-0196 | |
Cody Glick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-201-6983 | |
Jonathan R Young, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 822 N Andover Rd, Andover, KS 67002 Phone: 316-247-5499 Fax: 316-315-5965 | |
Matt Alan Weber, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 | |
Preferred Medical Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 E Central, Andover, KS 67002 Phone: 316-733-1331 Fax: 316-733-4916 | |
Mr. Felipe J Lim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W 21st St, Andover, KS 67002 Phone: 316-733-1349 |