| Lauren Houston Victory, DPT | |
|
203 Village Sq, Pulaski, TN 38478 | |
| (931) 424-5588 | |
| (931) 424-5590 |
| Full Name | Lauren Houston Victory |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 203 Village Sq, Pulaski, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932655792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10860 (Tennessee) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Houston Victory, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Lauren Houston Victory, DPT 203 Village Sq, Pulaski, TN 38478 Ph: (931) 424-5588 |
Mrs. Maria Emelita Noel Wong, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 993 East College St, Pulaski, TN 38478 Phone: 931-424-1456 Fax: 931-363-3507 | |
Mrs. Karen L Harbison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1672 West College St, Pulaski, TN 38478 Phone: 931-424-9300 Fax: 931-424-0833 | |
Benchmark Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Village Sq, Pulaski, TN 38478 Phone: 931-424-5588 Fax: 931-424-5590 | |
Rachel Michele Wolfe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Village Sqaure, Pulaski, TN 38478 Phone: 931-424-5588 Fax: 931-424-5590 | |
Ardmore/pulaski Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Village Sq, Pulaski, TN 38478 Phone: 931-424-5588 Fax: 931-424-5590 | |
Brandon Matt Fleming, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1265 E College St, Pulaski, TN 38478 Phone: 931-363-7531 | |
Audrey Leigh Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 993 E College St, Pulaski, TN 38478 Phone: 931-363-3572 Fax: 931-363-5001 |