Jerrod Latham, | |
720 32nd St S, Birmingham, AL 35233-3516 | |
(205) 731-2177 | |
Not Available |
Full Name | Jerrod Latham |
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Gender | Male |
Speciality | Physical Therapist |
Location | 720 32nd St S, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861102071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH11131 (Alabama) | Primary |
Provider Name | Therapy South Lakeview Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558704841 PECOS PAC ID: 7719125327 Enrollment ID: O20130521000128 |
Mailing Address | Practice Location Address |
---|---|
Jerrod Latham, 2823 Greystone Commercial Blvd, Hoover, AL 35242-2660 Ph: (205) 745-3660 | Jerrod Latham, 720 32nd St S, Birmingham, AL 35233-3516 Ph: (205) 731-2177 |
Mary Katherine Walker, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 205-639-0990 | |
Ms. Jenesis C. Safford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Room 8307, Birmingham, AL 35233 Phone: 205-933-4390 | |
Jason Cooper Grammer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr, Suite 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Samantha Specht, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-7763 | |
Ms. Robin Vanchina, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr, 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 | |
James Wallace Henry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7631 |