| Trent Logan Thompson, DPT | |
|
2950 W Westridge Pl, Carbondale, IL 62901-1092 | |
| (618) 457-1010 | |
| Not Available |
| Full Name | Trent Logan Thompson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2950 W Westridge Pl, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902551948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070026451 (Illinois) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Logan Thompson, DPT 110 Weisbrook Ln, Carterville, IL 62918-2319 Ph: (618) 384-1319 | Trent Logan Thompson, DPT 2950 W Westridge Pl, Carbondale, IL 62901-1092 Ph: (618) 457-1010 |
Dr. Steve Middleton, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 S Glenview Dr, Carbondale, IL 62901 Phone: 618-559-8196 | |
Cody B Doerflein, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 W Freeman St, Carbondale, IL 62901 Phone: 812-491-1307 Fax: 618-549-0226 | |
Kristy Travis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1237 E Main St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Marcel De Wit, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 | |
Mrs. Lorraine M Scimeca, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St, Suite Ll02, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0403 | |
Ms. Michelle Alonzo Discaya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 West Jackson St., Memorial Hospital Of Carbondale, Carbondale, IL 62901 Phone: 618-529-0516 Fax: 618-529-0403 | |
Jessica C Kelley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 Fax: 618-319-7542 |