| Agatha K Garus, | |
|
2055 Heritage Dr, Martinsville, IN 46151-3158 | |
| (765) 342-3305 | |
| Not Available |
| Full Name | Agatha K Garus |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2055 Heritage Dr, Martinsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851872998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22005262A (Indiana) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
| Mailing Address | Practice Location Address |
|---|---|
| Agatha K Garus, 730 E Crestline Dr, Bloomington, IN 47401-9095 Ph: () - | Agatha K Garus, 2055 Heritage Dr, Martinsville, IN 46151-3158 Ph: (765) 342-3305 |
Susan D Dixon, M.A., C.C.C. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4541 E Hacker Creek Rd, Martinsville, IN 46151 Phone: 765-349-1353 | |
Cynthia Sue Addie, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7555 Goat Hollow Rd, Martinsville, IN 46151 Phone: 317-373-1580 Fax: 317-831-2270 |