Ms Lacey J Phelan, DPT | |
107 Ridgewater Dr Ste B, Polson, MT 59860-8977 | |
(406) 883-2666 | |
(406) 883-2667 |
Full Name | Ms Lacey J Phelan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 107 Ridgewater Dr Ste B, Polson, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508499658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13045 (Montana) | Primary |
Provider Name | St Lukes Community Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
Mailing Address | Practice Location Address |
---|---|
Ms Lacey J Phelan, DPT 107 6th Ave Sw, Ronan, MT 59864-2634 Ph: (406) 676-4441 | Ms Lacey J Phelan, DPT 107 Ridgewater Dr Ste B, Polson, MT 59860-8977 Ph: (406) 883-2666 |
Polson Health & Rehabilitation Center Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 14th Ave W, Polson, MT 59860 Phone: 406-883-4378 Fax: 732-523-5312 | |
Joshua Michael Krantz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Ridgewater Dr, Polson, MT 59860 Phone: 406-883-2667 Fax: 406-883-2668 | |
Polson Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211a Main St, Polson, MT 59860 Phone: 406-883-8101 Fax: 406-883-8102 | |
Debbie Mcguinness Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 40490 Baypoint Road, Polson, MT 59860 Phone: 406-270-4697 Fax: 406-578-8373 | |
Ryan Jeffery Christopher, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-8485 Fax: 406-883-8934 | |
Deborah J Mcguinness, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1105 1st St E, Polson, MT 59860 Phone: 406-270-4697 Fax: 406-578-8373 | |
Mission Valley Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 51657 Us Highway 93, Polson, MT 59860 Phone: 406-883-6863 |