| Jennifer Mackie, | |
|
398 Blue Jay Dr, Liberty, MO 64068-1977 | |
| (816) 407-2315 | |
| (816) 407-1555 |
| Full Name | Jennifer Mackie |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 398 Blue Jay Dr, Liberty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700307584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 112338 (Missouri) | Primary |
| Provider Name | Lhlc Operations Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598288755 PECOS PAC ID: 9133486137 Enrollment ID: O20180103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mackie, 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 Ph: (816) 407-4555 | Jennifer Mackie, 398 Blue Jay Dr, Liberty, MO 64068-1977 Ph: (816) 407-2315 |
Mr. Craig Bolles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 Kara Ct, Suite #a-1, Liberty, MO 64068 Phone: 816-407-1249 Fax: 816-407-1259 | |
Jordan Nichol Puvogel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 S Forrest Ave, Liberty, MO 64068 Phone: 816-429-5199 Fax: 816-429-7129 | |
Chad E Helmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Ne 96th St, Ste A, Liberty, MO 64068 Phone: 816-792-0775 Fax: 816-792-0776 | |
Reese Jordan Bennett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 229 S Stewart Rd Ste E-3, Liberty, MO 64068 Phone: 816-656-3695 Fax: 816-656-3696 | |
Rachel Lynn Bowling, DT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 Norterre Cir, Liberty, MO 64068 Phone: 816-463-8849 Fax: 816-481-8781 | |
Mr. Gary Dwayne Eichenberger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 S Forrest Ave, Liberty, MO 64068 Phone: 515-341-2721 | |
Debra Hohn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 398 Blue Jay Dr, Liberty, MO 64068 Phone: 816-407-2315 Fax: 816-407-1555 |