| Mikayla Treynor, | |
|
44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 | |
| (313) 278-4601 | |
| Not Available |
| Full Name | Mikayla Treynor |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 44670 Ann Arbor Rd W Ste 130, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003229832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101004367 (Michigan) | Primary |
| Provider Name | Powerback Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912226366 PECOS PAC ID: 2365359932 Enrollment ID: O20101207000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Treynor, 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 Ph: (313) 278-4601 | Mikayla Treynor, 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 Ph: (313) 278-4601 |
Laura Nye, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 |
Cassidy Mertz, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4401 |
Jill Kristin Stiles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-372-1965 |
Angela Criteser, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14496 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 |
Amelia Eileen O'connor, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 229 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 |
Emily Taylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-454-0866 |
Candice Garnes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 |