Rachael Elizabeth Jasiak, PT, DPT | |
910 S Us Highway 131, Three Rivers, MI 49093-8802 | |
(269) 775-6030 | |
(877) 892-6252 |
Full Name | Rachael Elizabeth Jasiak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 910 S Us Highway 131, Three Rivers, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972317238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501303822 (Michigan) | Primary |
Provider Name | Alliance Physical Therapy Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649216144 PECOS PAC ID: 8921065707 Enrollment ID: O20041214000041 |
Mailing Address | Practice Location Address |
---|---|
Rachael Elizabeth Jasiak, PT, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: (616) 356-5000 | Rachael Elizabeth Jasiak, PT, DPT 910 S Us Highway 131, Three Rivers, MI 49093-8802 Ph: (269) 775-6030 |
Alexandrea Esther Ambs Dundore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 S Us Highway 131, Three Rivers, MI 49093 Phone: 269-775-6030 Fax: 877-892-6252 | |
Dr. Michael Bylsma, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-273-9682 Fax: 269-273-9626 | |
Mrs. Durga Devaki Mothukuru, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 | |
Miss Marjalize Kirsten, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 737 S Us Highway 131, Three Rivers, MI 49093 Phone: 269-256-5595 Fax: 269-216-6634 | |
Anna Jensen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 | |
Blade Evan Rohloff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-273-9682 Fax: 269-273-9623 | |
Nitin Udhawani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-273-9682 |