Lashawn Elam, PT | |
167 Main Street, Tuba City, AZ 86045 | |
(928) 283-2659 | |
Not Available |
Full Name | Lashawn Elam |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 167 Main Street, Tuba City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205161551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22329 (Maryland) | Secondary |
225100000X | Physical Therapist | P12856 (North Carolina) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619575651 PECOS PAC ID: 8921230137 Enrollment ID: O20201130001750 |
Mailing Address | Practice Location Address |
---|---|
Lashawn Elam, PT 16 Maybrook Rd, Suite C, Campbell Hall, NY 10916-2743 Ph: (845) 636-4344 | Lashawn Elam, PT 167 Main Street, Tuba City, AZ 86045 Ph: (928) 283-2659 |
Mrs. Kristen M Balcerek, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Heidi L Fisher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Katherine J Bannon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Tate Shea Tsingine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main Steet, Tuba City, AZ 86045 Phone: 866-976-5941 | |
Joli M Czamara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Tennell Lynn Gilmore, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2659 |