Mr Shane Michael Lawler, PT | |
104 Jungerman Rd, Suite F, St Peters, MO 63376 | |
(636) 926-2641 | |
(636) 926-3385 |
Full Name | Mr Shane Michael Lawler |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 104 Jungerman Rd, St Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528013398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2000157231 (Missouri) | Primary |
Provider Name | Physical Therapy Spine & Sports Medicine Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942524087 PECOS PAC ID: 3173654936 Enrollment ID: O20100623000778 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane Michael Lawler, PT 3868 Mexico Rd, St Charles, MO 63303 Ph: (636) 926-0408 | Mr Shane Michael Lawler, PT 104 Jungerman Rd, Suite F, St Peters, MO 63376 Ph: (636) 926-2641 |
Elizabeth Krueger, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-928-4199 Fax: 636-922-0818 | |
Diane Keeven, P. T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Charles B Mcdonnell, PT, CHT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Julie Fernandez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-928-4199 Fax: 636-922-0818 | |
Jennifer N Rutkowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 104, St Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Mr. Keith A Oakes, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Spencer Rd, Suite D, St Peters, MO 63376 Phone: 636-447-9911 Fax: 636-477-9929 |