Gary Latcham, PT | |
312 E Main St, Marshalltown, IA 50158-1888 | |
(641) 844-2294 | |
(641) 844-2297 |
Full Name | Gary Latcham |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 312 E Main St, Marshalltown, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417038399 | NPI | - | NPPES |
0475582 | Medicaid | IA | |
39066 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 01896 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
Mailing Address | Practice Location Address |
---|---|
Gary Latcham, PT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | Gary Latcham, PT 312 E Main St, Marshalltown, IA 50158-1888 Ph: (641) 844-2294 |
Mandy Jo Burns, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 E Main St, Marshalltown, IA 50158 Phone: 641-753-6636 Fax: 641-753-1005 | |
Megan Woosley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 E Main St, Marshalltown, IA 50158 Phone: 641-753-6636 | |
Jordan Nicole Vollmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Unitypoint Way Ste 70, Marshalltown, IA 50158 Phone: 641-754-6120 | |
Mrs. Karen Lynne Engesser, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 South 4th Avenue, Marshalltown, IA 50158 Phone: 641-754-5039 | |
Samir Maleki, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1902 S Center St, Marshalltown, IA 50158 Phone: 641-754-6120 Fax: 641-754-5019 | |
Allison Lynn Mills, DPT, ATC, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 55 Central Iowa Dr, Marshalltown, IA 50158 Phone: 563-543-3570 | |
Heidi Marie Welch, P.T., A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 E. Main Street, Marshalltown, IA 50158 Phone: 641-753-6636 Fax: 641-753-1005 |