| Pro Vita Physical Therapy Llc | |
|
4 9th Ave Bldg C, Shalimar, FL 32579-1746 | |
| (850) 331-3017 | |
| (855) 978-1838 |
| Full Name | Pro Vita Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4 9th Ave Bldg C, Shalimar, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841944535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Vita Physical Therapy Llc 638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170 Ph: (850) 331-3017 | Pro Vita Physical Therapy Llc 4 9th Ave Bldg C, Shalimar, FL 32579-1746 Ph: (850) 331-3017 |
Krista L Evans, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Hands Cove Ln, Shalimar, FL 32579 Phone: 210-471-8375 | |
Amy R Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hawthorn House Dr, Shalimar, FL 32579 Phone: 850-609-2550 | |
Michael Travers, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 9th Ave Ste G, Shalimar, FL 32579 Phone: 205-919-9349 | |
Marisa Mccormack, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 9th Ave Bldg C, Shalimar, FL 32579 Phone: 850-613-4099 |