| Keith William Lancaster, DPT | |
|
4411 S Adams St, Marion, IN 46953-5349 | |
| (765) 674-4455 | |
| (765) 674-3577 |
| Full Name | Keith William Lancaster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4411 S Adams St, Marion, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447377304 | NPI | - | NPPES |
| 05004606A | Other | IN | PHYSICAL THERAPY LICENSE |
| 000000352156 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05004606A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith William Lancaster, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 | Keith William Lancaster, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 |
Dr. Connie Jean Crump, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 S Washington St, Marion, IN 46953 Phone: 765-677-1598 | |
Audra Mae Stoll, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Rd, Marion, IN 46952 Phone: 765-651-3221 | |
Nichole Reanne Reaver, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 822 N Baldwin Ave, Marion, IN 46952 Phone: 765-733-1127 Fax: 765-733-1128 | |
Phillip Vincent Galeon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 | |
Mrs. Elvira Alexandra Warren, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3105 S Western Ave, Marion, IN 46953 Phone: 765-733-0050 Fax: 765-293-8032 | |
Patricia Rhoades, PT, DPT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Rd, Ste 202, Marion, IN 46952 Phone: 765-651-3229 | |
Justin Shaffer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 822 N Baldwin Ave, Marion, IN 46952 Phone: 765-733-1127 Fax: 765-733-1128 |