Justin Laster, DPT | |
1129 Ms-35 #2, Forest, MS 39074 | |
(601) 469-1001 | |
Not Available |
Full Name | Justin Laster |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1129 Ms-35 #2, Forest, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720645831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Performance Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
Provider Name | Enduracare Acute Care Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982118188 PECOS PAC ID: 8729347406 Enrollment ID: O20180126000469 |
Mailing Address | Practice Location Address |
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Justin Laster, DPT 1618 Highway 43 N, Pelahatchie, MS 39145-2873 Ph: () - | Justin Laster, DPT 1129 Ms-35 #2, Forest, MS 39074 Ph: (601) 469-1001 |
Cathy G Cooper, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 West 3rd Street, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Alexandria M Furdge, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 601-287-8038 | |
Leanne Earls Pounders, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Sarah A Parker, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Christopher Butler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Jessica Gail Martin, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 |