Lucas Benton Williams, DPT | |
973 Highway 51 N, Covington, TN 38019-1594 | |
(901) 617-0100 | |
Not Available |
Full Name | Lucas Benton Williams |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 973 Highway 51 N, Covington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629706882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 14432 (Tennessee) | Primary |
Provider Name | Dynamix Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
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Lucas Benton Williams, DPT 973 Highway 51 N, Covington, TN 38019-1594 Ph: (901) 617-0100 | Lucas Benton Williams, DPT 973 Highway 51 N, Covington, TN 38019-1594 Ph: (901) 617-0100 |
Mr. Edgar Corrigan Roberts, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1992 Highway 51 S, Covington, TN 38019 Phone: 901-476-1820 Fax: 901-476-0863 | |
Matthew Parker Dye, Physical Therapist Medicare: Medicare Enrolled Practice Location: 973 Us-51, Covington, TN 38019 Phone: 901-313-9869 | |
William Wright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Highway 51 S Ste J, Covington, TN 38019 Phone: 901-313-6600 Fax: 901-313-6601 | |
Alexa Mclemore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Highway 51 S Ste J, Covington, TN 38019 Phone: 901-313-6600 Fax: 901-313-6601 | |
Mrs. Amy Sims Carlisle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Bert Johnston Ave, Covington, TN 38019 Phone: 901-475-0027 | |
Mary Elizabeth Royster, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Peeler Rd, Covington, TN 38019 Phone: 901-475-9292 Fax: 901-475-9296 |