Mrs Liesl Lynn Olson, PT | |
3223 S Loop 289, Ste 101, Lubbock, TX 79423-8312 | |
(806) 740-3342 | |
(806) 740-3325 |
Full Name | Mrs Liesl Lynn Olson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 34 Years |
Location | 3223 S Loop 289, Lubbock, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003846866 | NPI | - | NPPES |
168331001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1063550 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Associates, Lp | 2567447279 | 9 |
Grace Clinic Of Lubbock | 5597768101 | 77 |
Provider Name | Physical Therapy Associates, Lp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790890937 PECOS PAC ID: 2567447279 Enrollment ID: O20040618000516 |
Provider Name | Grace Clinic Of Lubbock |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912953357 PECOS PAC ID: 5597768101 Enrollment ID: O20060822000256 |
Mailing Address | Practice Location Address |
---|---|
Mrs Liesl Lynn Olson, PT 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 Ph: (806) 744-7223 | Mrs Liesl Lynn Olson, PT 3223 S Loop 289, Ste 101, Lubbock, TX 79423-8312 Ph: (806) 740-3342 |
Mr. Robert Glenn Roten, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6801 Indiana Ave, Lubbock, TX 79413 Phone: 806-785-7900 Fax: 806-785-7909 | |
Natalie Denise Steadman, ATC, LAT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4507 7th St, Lubbock, TX 79416 Phone: 806-791-0316 Fax: 806-743-3518 | |
Jennifer Mounce, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4138 19th St, Lubbock, TX 79407 Phone: 806-771-8008 Fax: 806-771-8009 | |
Mr. Shane Edward Haas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5606 Geneva Ave, Lubbock, TX 79413 Phone: 806-797-3805 Fax: 806-797-0140 | |
Mr. Charles Franklin Berry, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1628 19th St, Lubbock, TX 79401 Phone: 806-766-1172 Fax: 806-766-1286 | |
Jodi Benham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6202 82nd St, Lubbock, TX 79424 Phone: 806-687-8008 Fax: 806-687-8009 |