Mr Russell Wade Lees, PT | |
301 Harding St, Clayton, NM 88415-3321 | |
(575) 374-5733 | |
Not Available |
Full Name | Mr Russell Wade Lees |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 301 Harding St, Clayton, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881843449 | NPI | - | NPPES |
K5719 | Other | NM | MEDICAID PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2898 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Russell Wade Lees, PT 301 Harding St, Clayton, NM 88415-3321 Ph: (575) 374-5733 | Mr Russell Wade Lees, PT 301 Harding St, Clayton, NM 88415-3321 Ph: (575) 374-5733 |
Mrs. Lana C Ramos, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Clayton, NM 88415 Phone: 575-374-2585 | |
Megan Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Clayton, NM 88415 Phone: 575-374-5733 |