MEDICARE: MR. JEREMY KEITH PAGE RKT, CBIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	226300000X	Kinesiotherapist

General Provider Information

NPI Number	:	1255685293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEREMY KEITH PAGE RKT, CBIS

Provider Business Mailing Address
First Line	:	805 NORTH HAMILTON STREET
Second Line	:	APARTMENT G
City	:	RICHMOND
State	:	VA
Zip	:	23221
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 N HAMILTON ST
Second Line	:	APARTMENT G
City	:	RICHMOND
State	:	VA
Zip	:	23221-1241
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	10/30/2012

Similar Medicare Providers

1295786390 — DR. TERESA ANN BUCZEK PH,D.
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4737

Practice Phone: 804-794-5928
Practice Fax: 804-379-6385

1124073853 — MICHAEL DORIAN SMITH PHD
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4737

Practice Phone: 804-794-8828
Practice Fax:

1336161520 — DR. WILLIAM DAVID BROCK PH.D.
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4737

Practice Phone: 804-794-8828
Practice Fax: 804-794-4735

1962515114 — MS. PATRICIA LEIGH WINTERBERGER BROCK LPC
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4737

Practice Phone: 804-306-8458
Practice Fax: 804-794-4735

1730354804 — BUCZEK & EHRMANTRAUT PC
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4879

Practice Phone: 804-794-5928
Practice Fax: 804-379-6385

1023277332 — MS. STEPHANIE LYNN DAULEY LPC
Practice Location Address:

1241 MALL DR
RICHMOND, VA
23235-4879

Practice Phone: 804-467-4309
Practice Fax:

Directions to “ MR. JEREMY KEITH PAGE RKT, CBIS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.