Laken Shankle, | |
1915 W Main St, Russellville, AR 72801-2725 | |
(479) 968-1198 | |
Not Available |
Full Name | Laken Shankle |
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Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 1915 W Main St, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285300566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
Provider Name | The Orthopaedic Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205880291 PECOS PAC ID: 6507757804 Enrollment ID: O20040324000995 |
Provider Name | Hh Health System - The Orthopaedic Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376220822 PECOS PAC ID: 0547624843 Enrollment ID: O20230919002679 |
Mailing Address | Practice Location Address |
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Laken Shankle, 500 E 3rd St, Russellville, AR 72801-5204 Ph: (479) 968-1198 | Laken Shankle, 1915 W Main St, Russellville, AR 72801-2725 Ph: (479) 968-1198 |
Seth B. Coulter, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802 Phone: 479-967-5155 Fax: 479-967-5141 | |
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639 | |
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178 | |
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069 | |
Mr. Jerry Wayne Manning, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801 Phone: 479-967-9657 Fax: 479-967-9658 | |
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126 | |
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 |