Lafayette Physical Therapy | |
120 W Villanow St, La Fayette, GA 30728-2463 | |
(706) 638-5983 | |
(706) 638-3612 |
Full Name | Lafayette Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 120 W Villanow St, La Fayette, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518999028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 005339 (Georgia) | Primary |
2251X0800X | Physical Therapist - Orthopedic | 006870 (Georgia) | Secondary |
Provider Name | Latefa N Terry |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023044948 PECOS PAC ID: 2961405238 Enrollment ID: I20060807000471 |
Mailing Address | Practice Location Address |
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Lafayette Physical Therapy 120 W Villanow St, La Fayette, GA 30728-2463 Ph: (706) 638-5983 | Lafayette Physical Therapy 120 W Villanow St, La Fayette, GA 30728-2463 Ph: (706) 638-5983 |
Ms. Latefa Nichelle Terry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 W Villanow St, La Fayette, GA 30728 Phone: 706-638-5983 | |
Matthew Parker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Mrs. Angela Leanne Tatum, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4147 Straight Gut Rd, La Fayette, GA 30728 Phone: 706-764-2951 Fax: 706-764-2951 | |
Lauren Taylor Shank, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr, Suite 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Holli Guthrie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Jensen Hackett Wages, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr, Suite 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 |