Jonathan Alan Latshaw, PT, DPT | |
800 Hospital Dr, Columbia, MO 65201-5275 | |
(573) 814-6540 | |
Not Available |
Full Name | Jonathan Alan Latshaw |
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Gender | Male |
Speciality | Physical Therapist |
Location | 800 Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508541707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2023023176 (Missouri) | Primary |
Provider Name | Northland Physical Therapy & Rehab Services, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740273218 PECOS PAC ID: 1850370453 Enrollment ID: O20040716000918 |
Mailing Address | Practice Location Address |
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Jonathan Alan Latshaw, PT, DPT 800 Hospital Dr, Columbia, MO 65201-5275 Ph: () - | Jonathan Alan Latshaw, PT, DPT 800 Hospital Dr, Columbia, MO 65201-5275 Ph: (573) 814-6540 |
Kathy Elaine Maxey, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Club Village Dr, Suite 103, Columbia, MO 65203 Phone: 573-256-2777 Fax: 573-256-2764 | |
Carly Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Ste 102, Columbia, MO 65201 Phone: 573-443-0225 | |
Rachel Muenks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 N Cedar Lake Dr W, Columbia, MO 65203 Phone: 314-669-5243 | |
Peak Performance Physical Therapy & Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201 Phone: 573-449-8771 Fax: 573-449-6563 | |
Ms. Miranda L Bourgeois, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201 Phone: 573-449-6082 | |
Mrs. Beth Kinser Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201 Phone: 573-874-0001 Fax: 573-449-3278 | |
Noah Brayden Cunningham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203 Phone: 573-442-5268 |