Dr Niccia Mcclure, PT | |
40 Wisteria Pl, Millbrook, AL 36054-1866 | |
(334) 285-0239 | |
(334) 285-9689 |
Full Name | Dr Niccia Mcclure |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 40 Wisteria Pl, Millbrook, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215147624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH#5070 (Alabama) | Primary |
Provider Name | Therapy South - Montgomery Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154933091 PECOS PAC ID: 9234558867 Enrollment ID: O20201001001302 |
Mailing Address | Practice Location Address |
---|---|
Dr Niccia Mcclure, PT 40 Wisteria Pl, Millbrook, AL 36054-1866 Ph: (334) 285-0239 | Dr Niccia Mcclure, PT 40 Wisteria Pl, Millbrook, AL 36054-1866 Ph: (334) 285-0239 |
Excel Therapy Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 772 Monument Dr, Millbrook, AL 36054 Phone: 334-285-0239 Fax: 334-285-9689 | |
Dr. Payton Wallace Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Wisteria Pl, Millbrook, AL 36054 Phone: 334-285-0239 | |
Dr. Timothy Cody Bush, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Wisteria Pl, Millbrook, AL 36054 Phone: 334-285-0239 Fax: 334-285-9689 | |
Edwin Tyler Hale, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Wisteria Place, Millbrook, AL 36054 Phone: 334-285-0239 Fax: 334-285-9689 |