Justin Tom Nguyen, | |
520 E Jackson St Ste 6, Willard, MO 65781-9210 | |
(417) 581-1234 | |
Not Available |
Full Name | Justin Tom Nguyen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 520 E Jackson St Ste 6, Willard, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811761398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Willard Physical Therapy Center Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528737780 PECOS PAC ID: 8123417037 Enrollment ID: O20211116000174 |
Mailing Address | Practice Location Address |
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Justin Tom Nguyen, 520 E Jackson St Ste 6, Willard, MO 65781-9210 Ph: () - | Justin Tom Nguyen, 520 E Jackson St Ste 6, Willard, MO 65781-9210 Ph: (417) 581-1234 |
Austin Evan Kats, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 | |
Dr. Kala Danielle Sheppard, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 Fax: 417-744-9674 | |
Dakota Lager Pearce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 | |
Lauren Alexandra Kelley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 | |
Maria S Harless, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Willard R-ii Schools, 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 Fax: 417-742-0841 | |
Martina N/a Mikulic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 | |
Willard R-ii Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-2584 Fax: 417-742-2586 |